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Individual

DARYL MALOLES NAVARRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RESPIRATORY THERAPIS

Contact information

Practice address
1505 N EDGEMONT ST, LOS ANGELES, CA 90027-5209
(323) 783-1770
Mailing address
1505 N EDGEMONT ST, LOS ANGELES, CA 90027-5209
(323) 783-1770

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
28074
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28074
RESPIRATORY CARE PRACTITIONER
CA
Enumeration date
08/17/2018
Last updated
08/17/2018
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