Provider Demographics
NPI:1497951693
Name:WARREN, DARRYL ERWIN (RN)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:ERWIN
Last Name:WARREN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N VERMONT AVE
Mailing Address - Street 2:8TH FL. RM. 8300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5337
Mailing Address - Country:US
Mailing Address - Phone:323-783-8987
Mailing Address - Fax:323-783-1276
Practice Address - Street 1:1515 N VERMONT AVE
Practice Address - Street 2:8TH FL. RM. 8300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5337
Practice Address - Country:US
Practice Address - Phone:323-783-8987
Practice Address - Fax:323-783-1276
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550359163WA2000X, 163WP2201X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered163WX0200XNursing Service ProvidersRegistered NurseOncology