| Derek Jue Md | |
|
1812 San Miguel Drive Walnut Creek CA 94596 | |
| (925) 944-9193 | |
| (925) 944-0682 |
| Full Name | Derek Jue Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1812 San Miguel Drive, Walnut Creek, California |
| Authorized Official Name and Position | Derek Jue (OWNER) |
| Authorized Official Contact | 9259449193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Jue Md 1812 San Miguel Dr Walnut Creek CA 94596-8606 Ph: (925) 944-9193 | Derek Jue Md 1812 San Miguel Drive Walnut Creek CA 94596 Ph: (925) 944-9193 |
| NPI Number | 1962958108 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962958108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A52948 (California) | Primary |
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