Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | DC32607 | CA |
NPI | 1730768524 |
---|---|
Provider Name | James Issac Darmo |
First Address | Los Angeles, CA 90027-0206 |
Second Address | West Hills, CA 91307-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 07/04/2021 |