Individual provider · Type 1 NPI
Joseph A. Derije, NP
Psychiatric/Mental Health Nurse Practitioner · Culver City, CA
NPI number
1003107616
Active
Practice location
9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732
Fax (310) 840-7023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 743245 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95005123 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003107616
Joseph A. Derije, NP's National Provider Identifier is 1003107616, issued on Apr 29, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Culver City, CA. The record was last updated on Sep 29, 2026.