Provider Demographics
NPI:1235877705
Name:NAGAL, DARRYL SAMSON
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:SAMSON
Last Name:NAGAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7207 LADDECK CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-3101
Mailing Address - Country:US
Mailing Address - Phone:619-757-5326
Mailing Address - Fax:
Practice Address - Street 1:7207 LADDECK CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-3101
Practice Address - Country:US
Practice Address - Phone:619-757-5326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator