National Provider Identifier Database

RAY DERAKSHAN DMD INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RAY DERAKSHAN, DMD INC
11134 RANCHO CARMEL DR. #103
SAN DIEGO, CA92128
Phone: 858-485-1010
Fax: 858-485-1116
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RAY DERAKSHAN, DMD INC

NPI Number 1255579793
Legal business name
LBN
RAY DERAKSHAN, DMD INC
Authorized official RAY DERAKSHAN - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 01/21/2009
Last updated 10/22/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 46044

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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