Dr. Derick Alan Ball
Foot Surgery
13624 Hawthorne Blvd Suite 206
Hawthorne
, California 90250-5818
Dr. Derick Alan Ball
Foot Surgery
13624 Hawthorne Blvd Suite 206
Hawthorne
, California 90250-5818
(310) 675-0904
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Derick Alan Ball
- 13624 Hawthorne Blvd Suite 206
- Hawthorne, CA
- Zip : 90250-5818
- Fax : (310) 675-0904
- Phone : (310) 675-0900
Second Address
- Dr. Derick Alan Ball
- 13624 Hawthorne Blvd Suite 206
- Hawthorne, CA
- Zip : 90250-5818
- Fax : (310) 675-0904
- Phone : (310) 675-0900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | E3329 | CA |
National Provider Identifier
| NPI | 1346299716 |
|---|---|
| Provider Name | Dr. Derick Alan Ball |
| First Address | Hawthorne, CA 90250-5818 |
| Second Address | Hawthorne, CA 90250-5818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 08/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E33290 | (05) | CA |
| GRE001780 | (05) | CA |
| T11637 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.