Individual
DERRICK ESTIFANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(818) 647-2653
Mailing address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(818) 647-2653
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
05/05/2025
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