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Derick Tom
NPI 1801221890 · on the registry since 2013
Practice
- Address
- 2021 N. Beverly Plaza Apt#142
Long Beach, CA 90815 - Phone
- (909) 993-7663
Additional practice sites
- 68 Willow Rd, Menlo Park, CA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 390200000X
- Sex
- Male
- Record last updated
- 2019-08-26
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