Individual provider · Type 1 NPI

Trevor John Derderian, MD

Vascular Surgery Physician · Rancho Mirage, CA

NPI number 1124346697 Active

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Fax (760) 341-2093

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X148584 (CA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1124346697

Trevor John Derderian, MD's National Provider Identifier is 1124346697, issued on May 9, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Rancho Mirage, CA. The record was last updated on Dec 30, 2025.