Individual provider · Type 1 NPI

Derrick Austin Fama Sy, DO

Student in an Organized Health Care Education/Training Program · Rancho Mirage, CA

NPI number 1124821145 Active

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr Ste 201
Rancho Mirage, CA 92270-3221

Specialties and licenses

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

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124821145

Derrick Austin Fama Sy, DO's National Provider Identifier is 1124821145, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Mar 27, 2025.