Search › California › 111N00000X
Derek Boudreaux, D.C
NPI 1669640819 · on the registry since 2008 · sole proprietor
Practice
- Address
- 150 Shoreline Hwy Ste 33
Mill Valley, CA 94941 - Phone
- (415) 306-1166
- Fax
- (415) 634-1300
- Organisation at this address
- Ok Ltd Llc
The Tam Pacific Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-19
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