Individual
DEREK PI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4200 CHINO HILLS PKWY, CHINO HILLS, CA 91709-3776
(909) 393-9058
Mailing address
20612 SHEPHERD HILLS DR, DIAMOND BAR, CA 91789-5402
(909) 358-7491
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35155
CA
Other
Enumeration date
04/12/2021
Last updated
08/09/2022
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