IndividualActive
Darryl De Los Angeles
NPI 1891339602 · Gerontology Clinical Nurse Specialist · Lake Balboa, CA
Provider details
- NPI number
- 1891339602
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4457 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8016 Paso Robles Ave
Lake Balboa, CA 91406-1124
Phone: (310) 691-9146
Approximate (ZIP-level) locationGet directions
Mailing address
8016 Paso Robles Ave
Lake Balboa, CA 91406-1124
Registry dates
- Enumerated
- 2019-11-05
- Last updated
- 2019-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.