Individual
DEREK QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3110 E GUASTI RD, ONTARIO, CA 91761-1219
(858) 592-2000
Mailing address
17855 DALLAS PKWY STE 200, DALLAS, TX 75287-6857
(346) 376-1702
(224) 532-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015979
CA
Other
Enumeration date
12/10/2020
Last updated
03/03/2023
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