Individual
DR. DEREK L MCCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2880 ATLANTIC AVE, SUITE 170, LONG BEACH, CA 90806-1714
(562) 492-9900
(562) 492-9902
Mailing address
2880 ATLANTIC AVE, SUITE 170, LONG BEACH, CA 90806-1714
(562) 492-9900
(562) 492-9902
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A69656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043640063
CARDIN HEALTHCARE
CA
01
—
A69656
STATE LICENSE
CA
Enumeration date
04/20/2007
Last updated
12/13/2013
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