Individual
DR. DAMIAN PHILIP DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037
(858) 554-9664
(858) 554-5451
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-9664
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
C51186
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C51186
CA
Other
Enumeration date
01/27/2006
Last updated
07/05/2018
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