Individual
DR. DARRYL LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 261-7135
(408) 554-9960
Mailing address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 261-7135
(408) 554-9960
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
G77606
CA
2084P0800X
Psychiatry Physician
Primary
G77606
CA
2084P0802X
Addiction Psychiatry Physician
G77606
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G77606
CA
2084P0805X
Geriatric Psychiatry Physician
G77606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G6776061
PPIN
—
Enumeration date
09/21/2006
Last updated
04/01/2016
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