Individual
ADEEB DERAKHSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST RM 2586A, LOMA LINDA, CA 92354-2804
(909) 558-7884
Mailing address
11234 ANDERSON ST RM 2586A, LOMA LINDA, CA 92354-2804
(909) 558-7884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A188212
CA
207Y00000X
Otolaryngology Physician
D93707
MD
Other
Enumeration date
05/03/2017
Last updated
01/15/2026
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