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DOMINIQUE DERSE
NPI 1235931478
Student in an Organized Health Care Education/Training Program in Harbor City, CA

Active since March 26, 2025
1403 LOMITA BLVD STE 200, HARBOR CITY, CA 90710(310) 602-2550(310) 326-7205 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Derse NPPES

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

DOMINIQUE DERSE (NPI 1235931478) is an individual student in an organized health care education/training program in Harbor City, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1235931478
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE DERSE
Location Address1403 LOMITA BLVD STE 200Harbor City, CA 90710-2086
Mailing Address1403 Lomita Blvd Ste 102Harbor City, CA 90710-2084 · (310) 602-2550 · Fax (310) 326-7205
Phone(310) 602-2550
Fax(310) 326-7205
Sole ProprietorNo
Enumeration DateMarch 26, 2025
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1235931478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1403 LOMITA BLVD STE 200, Harbor City, CA 90710
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMAR GARCIA MD
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2545
RAVEN LIN MD
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2550
GEORGE TRUONG MD
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (424) 306-6500
CARINA FRANCO M.D.
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2550
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 534-6203
DR. ROSA MARIA VASQUEZ MD
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2550
EGO JENIFFER OFOEGBU MD
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2550
IRENE NGUYEN
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2550

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 Dominique Derse's NPI number?

The NPI number for Dominique Derse is 1235931478. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Dominique Derse located?

Dominique Derse practices at 1403 Lomita Blvd Ste 200, Harbor City, CA 90710. The listed phone number is (310) 602-2550.

What is Dominique Derse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dominique Derse was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.