Individual
CHRISTIAN DEREFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6520 N IRWINDALE AVE, 100, IRWINDALE, CA 91702-2801
(626) 812-0366
(626) 812-5952
Mailing address
PO BOX 77607, CORONA, CA 92877-0120
(909) 278-0757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14172
CA
Other
Enumeration date
08/31/2006
Last updated
07/13/2016
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