Organization
DERRICK STEPHAN, PA-C INC.
Active
Other names
PAC SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK STEPHAN (OWNER/PROVIDER)
(949) 338-3133
Entity
Organization
Contact information
Practice address
33445 PASEO EL LAZO, SAN JUAN CAPISTRANO, CA 92675-1003
(949) 338-3133
(949) 266-8586
Mailing address
33445 PASEO EL LAZO, SAN JUAN CAPISTRANO, CA 92675-1003
(949) 338-3133
(949) 266-8586
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
09/18/2024
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