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Paul Deridder, MD

NPI 1871877134 · on the registry since 2011 · sole proprietor

Practice

Address
4108 River Ave
Newport Beach, CA 92663
Phone
(714) 345-5887
Fax
(949) 548-1994

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-05

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