Individual provider · Type 1 NPI
John Derrick Van Doren, MD
General Practice Physician · Rancho Mirage, CA
NPI number
1841844115
Active
Practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
42222 Rancho Las Palmas Dr Unit 986
Rancho Mirage, CA 92270-4268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | G60750 (CA) |
| General Practice Physician Primary | 208D00000X | G60750 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1841844115
John Derrick Van Doren, MD's National Provider Identifier is 1841844115, issued on Jul 25, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Nov 9, 2021.