Individual
DEREK MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4030 BIRCH ST, SUITE 107, NEWPORT BEACH, CA 92660-2214
(949) 752-5533
(949) 752-5532
Mailing address
4030 BIRCH ST, SUITE 107, NEWPORT BEACH, CA 92660-2214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26899
CA
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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