Provider Demographics
NPI:1023197282
Name:DARIA, RONALD PAULINO (RN-PHN)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:PAULINO
Last Name:DARIA
Suffix:
Gender:M
Credentials:RN-PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14120 BEACH BLVD
Mailing Address - Street 2:ROOM 104
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4454
Mailing Address - Country:US
Mailing Address - Phone:714-934-4616
Mailing Address - Fax:
Practice Address - Street 1:14120 BEACH BLVD
Practice Address - Street 2:ROOM 104
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4454
Practice Address - Country:US
Practice Address - Phone:714-934-4616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA651444163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health