# DARRYL WILLOUGHBY M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770725145
- **Authorized official:** DARRYL A WILLOUGHBY MD (SOLE PROPRIETOR)
- **Authorized official phone:** (310) 968-6012

## Contact information

- **Practice address:** 1414 S GRAND AVE, SUITE 307, LOS ANGELES, CA 90015-3067
- **Practice address phone:** (213) 765-8088
- **Practice address fax:** (310) 329-3239
- **Mailing address:** PO BOX 6620, TORRANCE, CA 90504-0620
- **Mailing address phone:** (310) 968-6012
- **Mailing address fax:** (310) 329-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A54030 | CA | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A540300 | — | CA |