Provider Demographics
NPI:1245264837
Name:JONES, DEREK HUNTER (MD)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:HUNTER
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STUART
Other - Middle Name:DENIS
Other - Last Name:OKEEFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASSISTANT
Mailing Address - Street 1:FILE #55737
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074
Mailing Address - Country:US
Mailing Address - Phone:310-246-0495
Mailing Address - Fax:310-246-0496
Practice Address - Street 1:9201 SUNSET BLVD #602
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069
Practice Address - Country:US
Practice Address - Phone:310-246-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62154207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology