Individual provider · Type 1 NPI

Deric Fitzgerald

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

NPI number 1629403084 Active

Practice location

10929 South St, Suite 208B
Cerritos, CA 90703-5340

Call (562) 924-5526 Map

Fax (562) 924-1040

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.

58 other providers at this address

Other student in an organized health care education/training program providers in Cerritos

See all in Cerritos →

About NPI 1629403084

Deric Fitzgerald's National Provider Identifier is 1629403084, issued on Sep 4, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cerritos, CA. The record was last updated on Mar 20, 2014.