Doctor Name: | DERRICK CHEUNG LEW |
NPI Number: | 1194037838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | EL-1851 |
Business Practice Address: | 9310 E Valley Blvd Rosemead, CA - 917701924 |
Business Phone Number: | 6262888671 |
Business Fax Number: | 6262882498 |
Mailing Address: | 9310 E Valley Blvd, ROSEMEAD |
State: | CA |
Postal Code: | 91770 |
Phone Number: | 6262888671 |
Fax Number: | 6262882498 |
NPI Enumeration Date: | 07/10/2010 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | EL-1851 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |