Search › California › 207R00000X
David Derose, MD
NPI 1700118700 · on the registry since 2010
Practice
- Address
- 20601 West Paoli Lane
Weimar, CA 95736 - Phone
- (530) 637-4111
- Fax
- (530) 637-4443
- Organisation at this address
- Benjamin Tiffany
Newstart Medical Clinic
Newstart Medical Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 2083P0500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California