Individual
DARRYL RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S BEVERLY DR, LOS ANGELES, CA 90035-1185
(310) 424-8538
Mailing address
1100 S BEVERLY DR, LOS ANGELES, CA 90035-1185
(310) 424-8538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1231132428
CA
133N00000X
Nutritionist
1231147803
CA
2255A2300X
Athletic Trainer
Primary
1231146885
CA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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