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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAY DERAKSHAN, DMD INC

Active Organization

RAY DERAKSHAN, DMD INC is a Preferred Provider Organization organization located in SAN DIEGO, California. NPI 1255579793 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · SAN DIEGO, CA

Registration Details

NPI Number
1255579793
Provider Type
Organization
NPI Issued
Jan 21, 2009 (17.584768973783 yrs)
Last Updated
Oct 22, 2021
License
46044 (CA)

Practice Information

Address
11134 RANCHO CARMEL DR. #103
SAN DIEGO, CA, 92128
Browse CA providers · Browse ZIP 92128
Phone
8584851010
Fax
8584851116
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.