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MR. MARK MITCHELL DEDERICHS DC LAC
NPI 1114063708
Acupuncturist in Glendora, CA

Active since January 30, 2007
1435 E RT 66, #C, GLENDORA, CA 91740(626) 963-6332(626) 963-0262 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Mitchell Dederichs Dc Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK MITCHELL DEDERICHS DC LAC (NPI 1114063708) is an individual acupuncturist in Glendora, California, licensed in California (9187) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114063708
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. MARK MITCHELL DEDERICHSCredential: DC LAC
Location Address1435 E RT 66, #CGlendora, CA 91740-3748
Mailing Address1435 E Rt 66, #cGlendora, CA 91740 · (626) 963-6332 · Fax (626) 963-0262
Phone(626) 963-6332
Fax(626) 963-0262
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1114063708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · 9187
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedChiropractorTaxonomy 111N00000X · License 16330 (CA)
1435 E RT 66, Glendora, CA 91740
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Dederichs's NPI number?

The NPI number for Mark Dederichs is 1114063708. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mark Dederichs located?

Mark Dederichs practices at 1435 E Rt 66 #c, Glendora, CA 91740. The listed phone number is (626) 963-6332.

What is Mark Dederichs's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Mark Dederichs was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.