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Darryl A Willoughby Md Inc
Specialist in Los Angeles, California
NPI 1851559538

Darryl A Willoughby Md Inc is a Specialist based in Torrance, CA. Darryl A Willoughby Md Inc practices in Los Angeles, CA. The NPI Number for Darryl A Willoughby Md Inc is 1851559538 and holds a License No. A54030 (California).

The current practice location address for Darryl A Willoughby Md Inc is 1414 S Grand Ave Ste 307, Los Angeles, CA and can be reached out via phone at 213-765-8088 and via fax at 310-329-3239.

Location: 1414 S Grand Ave Ste 307, Los Angeles, CA, 90504-0620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851559538
Provider Name
Darryl A Willoughby Md Inc
Credential
Provider Entity Type
Organization
Address
1414 S Grand Ave Ste 307, Los Angeles, CA, 90504-0620
Phone Number
213-765-8088
Fax Number
310-329-3239
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A540300 05 CA
institution
Provider Business Practice Location Address Details
Address
1414 S Grand Ave Ste 307
City
Los Angeles
State
California
Zip
90015-3072
Phone Number
213-765-8088
Fax Number
310-329-3239
person
Provider Business Mailing Address Details
Address
1414 S Grand Ave Ste 307
City
Los Angeles
State
California
Zip
90015-3072
Phone Number
213-765-8088
Fax Number
310-329-3239
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A54030 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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