Individual
JACLYN DERIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
168 N BRENT ST STE 506, VENTURA, CA 93003-2840
(805) 653-6580
(805) 653-6687
Mailing address
168 N BRENT ST STE 506, VENTURA, CA 93003-2840
(805) 485-8722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101284937
VA
208600000X
Surgery Physician
A184116
CA
Other
Enumeration date
06/30/2020
Last updated
07/31/2026
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