Individual
DEREK L PASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
101829
WI
207L00000X
Anesthesiology Physician
Primary
A182607
CA
207L00000X
Anesthesiology Physician
DR.0065803
CO
207L00000X
Anesthesiology Physician
MD61505577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2280216
—
WA
Enumeration date
04/03/2017
Last updated
10/15/2024
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