Doctor Name: | MR. DERRICK WALTER STREETS |
NPI Number: | 1477797215 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 9150 Imperial Hwy Downey, CA - 902422835 |
Business Phone Number: | 5629403694 |
Business Fax Number: | 5629407425 |
Mailing Address: | 1660 W Mission Blvd, POMONA |
State: | CA |
Postal Code: | 917661200 |
Phone Number: | 9094694507 |
Fax Number: | 9094699563 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |