Individual
JOHN DEROUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 SAN DIMAS ST, BAKERSFIELD, CA 93301-1456
(661) 663-3700
Mailing address
PO BOX 2029, BAKERSFIELD, CA 93303-2029
(661) 843-7616
(661) 760-6926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G76575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G765750
—
CA
Enumeration date
07/19/2006
Last updated
11/05/2025
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