Individual
DARLENE MULYANTO-MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
336 N ISABEL ST APT 7, GLENDALE, CA 91206-3675
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95004975
CA
Other
Enumeration date
11/14/2016
Last updated
05/19/2025
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