NPI 1003012162

Darcesean Gamble, PA

Practitioner Physician Assistant Sherman Oaks, CA

Practice location

Address: 4955 van Nuys Blvd STE 411, Sherman Oaks, CA 91403-1824
Phone: (818) 784-1195
Mailing address: 5137 Onaknoll Ave, Los Angeles, CA 90043-1039

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 15713 (CA)

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Registry record

NPI: 1003012162
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.