Ray Derakshan, D.M.D

NPI 1770621591 · on the registry since 2007 · sole proprietor

Practice

Address: 11134 Rancho Carmel Dr
Suite 103
San Diego, CA 92128
Phone: (858) 485-1010
Fax: (858) 485-1116
Organisation at this address: Pearle Visioncare, Inc
Luxottica Of America Inc.
Luis G. Perez-Rivera Od Optometric Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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