Individual provider · Type 1 NPI

Mika Kakefuda Derynck, MD

Specialist · San Mateo, CA

NPI number 1477914307 Active

Practice location

27 Hilltop Rd
San Mateo, CA 94402-1146

Call (415) 999-3933 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XGO79889 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477914307

Mika Kakefuda Derynck, MD's National Provider Identifier is 1477914307, issued on Mar 20, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Mateo, CA. The record was last updated on Mar 20, 2016.