Individual
DERRICK CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776-5716
(626) 308-3800
Mailing address
12016 SAN RIO ST, EL MONTE, CA 91732-1234
(626) 532-3851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95349463
CA
363L00000X
Nurse Practitioner
Primary
95039827
CA
Other
Enumeration date
01/07/2026
Last updated
05/30/2026
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