Individual provider · Type 1 NPI

Deryk Mason II, LVN

Licensed Vocational Nurse · Upland, CA

NPI number 1457045346 Active

Practice location

1241 W Foothill Blvd
Upland, CA 91786-3681

Call (909) 985-2713 Map

Mailing address

11474 Tioga Peak Ct
Rancho Cucamonga, CA 91737-8804

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	287724 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1457045346

Deryk Mason II, LVN's National Provider Identifier is 1457045346, issued on Jun 5, 2023. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Upland, CA. The record was last updated on Jun 5, 2023.