Individual
MR. RONALD DERAYUNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065-5813
(310) 980-7475
Mailing address
2788 FYLER PL, LOS ANGELES, CA 90065-5106
(213) 500-4952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95034129
CA
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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