IndividualActive
Derek Moriyama
NPI 1851747901 · Hospice and Palliative Medicine (Internal Medicine) Physician · Tustin, CA
Provider details
- NPI number
- 1851747901
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- A168883 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15000 Kensington Park Dr Ste 170
Tustin, CA 92782-1836
Phone: (714) 477-8300
Fax: (714) 477-8301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31309
Los Angeles, CA 90031-0309
Additional practice locations (1)
- 1520 San Pablo St Ste 1000Los Angeles, CA 90033-5312Phone: (323) 442-5100
Registry dates
- Enumerated
- 2016-05-08
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.