Organization
SOCAL FACIAL PLASTIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEEB DERAKHSHAN MD (SURGEON)
(951) 783-9198
Entity
Organization
Contact information
Practice address
3333 CONCOURS BLDG 3, ONTARIO, CA 91764-4875
(304) 881-3170
Mailing address
6800 INDIANA AVE STE 280, RIVERSIDE, CA 92506-7205
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
07/16/2026
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