Individual
MR. DARCESEAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4955 VAN NUYS BLVD STE 411, SHERMAN OAKS, CA 91403-1824
(818) 784-1195
Mailing address
5137 ONAKNOLL AVE, LOS ANGELES, CA 90043-1039
(310) 403-2510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 15713
CA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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