Individual
DR. DERRIK BRIAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15911 POMONA RINCON RD, CHINO HILLS, CA 91709-5566
(909) 334-2230
Mailing address
15911 POMONA RINCON RD, CHINO HILLS, CA 91709-5566
(909) 334-2230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34377
CA
Other
Enumeration date
04/23/2019
Last updated
08/13/2020
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