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Derrick Tint Md, Corporation
Medical Specialty Clinic/Center in Corona, California
NPI 1659969590

Derrick Tint Md, Corporation is a Medical Specialty Clinic/Center based in Corona, CA and is specialized in Medical Specialty. Derrick Tint Md, Corporation practices in Corona, CA. The NPI Number for Derrick Tint Md, Corporation is 1659969590 and holds a License No. (California).

The current practice location address for Derrick Tint Md, Corporation is 341 Magnolia Ave Ste 206, Corona, CA and can be reached out via phone at 951-735-0470.

Location: 341 Magnolia Ave Ste 206, Corona, CA, 92879-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659969590
Provider Name
Derrick Tint Md, Corporation
Credential
Provider Entity Type
Organization
Address
341 Magnolia Ave Ste 206, Corona, CA, 92879-3332
Phone Number
951-735-0470
Fax Number
Provider Enumeration Date
01/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A160407 01 CA MEDICAL LICENSE
1033554423 01 INDIVIDUAL NPI
MD463754 01 PA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
341 Magnolia Ave Ste 206
City
Corona
State
California
Zip
92879-3332
Phone Number
951-735-0470
Fax Number
person
Provider Business Mailing Address Details
Address
341 Magnolia Ave Ste 206
City
Corona
State
California
Zip
92879-3332
Phone Number
951-735-0470
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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