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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DARCESEAN GAMBLE, PA
4955 VAN NUYS BLVD STE 411
SHERMAN OAKS, CA91403-1824
 Phone: 818-784-1195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DARCESEAN GAMBLE · (Male)

NPI Number 1003012162
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/25/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA 15713
Hospital affiliation(s)
  • CALIFORNIA HOSPITAL MEDICAL CENTER LA - (Acute Care)
    1401 SOUTH GRAND AVENUE
    LOS ANGELES, CA 90015
  • HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD - (Acute Care)
    6245 DE LONGPRE AVE
    HOLLYWOOD, CA 90028
  • SHERMAN OAKS HOSPITAL - (Acute Care)
    4929 VAN NUYS BLVD
    SHERMAN OAKS, CA 91403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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