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Individual

DR. DERICK ALAN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13624 HAWTHORNE BLVD, SUITE 206, HAWTHORNE, CA 90250-5818
(310) 675-0900
(310) 675-0904
Mailing address
13624 HAWTHORNE BLVD, SUITE 206, HAWTHORNE, CA 90250-5818
(310) 675-0900
(310) 675-0904

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E3329
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
E33290
CA
05
GRE001780
CA
Enumeration date
05/10/2006
Last updated
04/08/2008
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