Individual
DARLA OAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3354
Mailing address
5427 BEVIS AVE, SHERMAN OAKS, CA 91411-3743
(818) 515-0365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
582844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00420530
RAILROAD MEDICARE
CA
Enumeration date
11/15/2006
Last updated
06/04/2009
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