Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK SWANIER
Active Sole Proprietor2472E0500X · GARDENA, CA
Registration Details
- NPI Number
- 1194167759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2013 (12.74543442272 yrs)
- Last Updated
- Jul 24, 2013
- License
-
2472E0500X (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14709 S BUDLONG AVE APT 309GARDENA, CA, 902473063Browse CA providers · Browse ZIP 90247
- Phone
- 3107034072
- Primary Specialty
-
2472E0500X
2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.