SearchCaliforniaPhysical Therapist

Derrick Dizon

NPI 1902654544 · on the registry since 2024

Practice

Address
619 N Fairfax Ave
Los Angeles, CA 90036
Phone
(323) 651-0043
Organisation at this address
Mek Kennedy, Llc
Fairfax Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

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