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Ray Derakshan, Dmd Inc
Preferred Provider Organization in San Diego, California
NPI 1255579793

Ray Derakshan, Dmd Inc is a Preferred Provider Organization based in San Diego, CA. Ray Derakshan, Dmd Inc practices in San Diego, CA. The NPI Number for Ray Derakshan, Dmd Inc is 1255579793 and holds a License No. 46044 (California).

The current practice location address for Ray Derakshan, Dmd Inc is 11134 Rancho Carmel Dr. #103, San Diego, CA and can be reached out via phone at 858-485-1010 and via fax at 858-485-1116.

Location: 11134 Rancho Carmel Dr. #103, San Diego, CA, 92128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255579793
Provider Name
Ray Derakshan, Dmd Inc
Credential
Provider Entity Type
Organization
Address
11134 Rancho Carmel Dr. #103, San Diego, CA, 92128
Phone Number
858-485-1010
Fax Number
858-485-1116
Provider Enumeration Date
01/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11134 Rancho Carmel Dr. #103
City
San Diego
State
California
Zip
92128
Phone Number
858-485-1010
Fax Number
858-485-1116
person
Provider Business Mailing Address Details
Address
11134 Rancho Carmel Dr. #103
City
San Diego
State
California
Zip
92128
Phone Number
858-485-1010
Fax Number
858-485-1116
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
46044 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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