Individual provider · Type 1 NPI

Derrick Estifanos

Rehabilitation Practitioner · Canoga Park, CA

NPI number 1063968097 Active

Practice location

6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255

Call (818) 647-2653 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1063968097

Derrick Estifanos's National Provider Identifier is 1063968097, issued on Aug 30, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Canoga Park, CA. The record was last updated on Sep 14, 2026.