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Mika Kakefuda Derynck, MD
Specialist in San Mateo, California
NPI 1477914307

Mika Kakefuda Derynck is a Specialist based in San Mateo, CA. Mika Kakefuda Derynck practices in San Mateo, CA and has the professional credentials of MD. The NPI Number for Mika Kakefuda Derynck is 1477914307 and holds a License No. GO79889 (California).

The current practice location address for Mika Kakefuda Derynck is 27 Hilltop Rd, San Mateo, CA and can be reached out via phone at 415-999-3933.

Location: 27 Hilltop Rd, San Mateo, CA, 94402-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477914307
Provider Name
Mika Kakefuda Derynck
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
27 Hilltop Rd, San Mateo, CA, 94402-1146
Phone Number
415-999-3933
Fax Number
Provider Enumeration Date
03/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GO79889 01 CA CALIFORNIA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
27 Hilltop Rd
City
San Mateo
State
California
Zip
94402-1146
Phone Number
415-999-3933
Fax Number
person
Provider Business Mailing Address Details
Address
27 Hilltop Rd
City
San Mateo
State
California
Zip
94402-1146
Phone Number
415-999-3933
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
GO79889 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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