Darryl De Los Angeles, is a
Clinical Nurse Specialist - Gerontology based in Lake Balboa, California. Darryl De Los Angeles is licensed to practice in California (license number 4457) and his current practice location is
8016 Paso Robles Ave, Lake Balboa, California. He can be reached at his office (for appointments etc.) via phone at
(310) 691-9146.
NPI number for Darryl De Los Angeles is 1891339602 and his current mailing address is 8016 Paso Robles Ave, Lake Balboa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891339602.
Provider's Profile
| Full Name | Darryl De Los Angeles |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 8016 Paso Robles Ave, Lake Balboa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891339602
- Provider Enumeration Date: 11/05/2019
- Last Update Date: 11/05/2019
Medical Identifiers
Medical identifiers for Darryl De Los Angeles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891339602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 4457 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darryl De Los Angeles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darryl De Los Angeles,
8016 Paso Robles Ave,
Lake Balboa, CA 91406-1124
Ph: () - | Darryl De Los Angeles,
8016 Paso Robles Ave,
Lake Balboa, CA 91406-1124
Ph: (310) 691-9146 |
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