Organization
DARRYL A WILLOUGHBY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL ALAN WILLOUGHBY MD (ORTHOPEDIC SURGEON)
(213) 765-8088
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE STE 307, LOS ANGELES, CA 90015-3072
(213) 765-8088
(310) 329-3239
Mailing address
PO BOX 6620, TORRANCE, CA 90504-0620
(213) 765-8088
(310) 329-3239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A54030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A540300
—
CA
Enumeration date
05/29/2008
Last updated
06/30/2008
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