Individual
BRANDON DEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, MS, ATC
Contact information
Practice address
144 W LOS ANGELES AVE STE 110, MOORPARK, CA 93021-4218
(805) 552-1915
(805) 552-1991
Mailing address
144 W LOS ANGELES AVE STE 110, MOORPARK, CA 93021-4218
(805) 552-1915
(805) 552-1991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264440100
DEPT OF LABOR
CA
01
—
OPT268640
BLUE SHIELD INDIVIDUAL
CA
01
—
ZZZ082282
BLUE SHIELD GROUP#
CA
Enumeration date
03/14/2006
Last updated
08/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us