Darnsteadt, Derrick R
Darnsteadt, Derrick R is an sole proprietor health care provider with primary practice located at 11301 Wilshire Blvd Emergency Department, Los Angeles CA 90073-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Darnsteadt, Derrick R can be contacted via phone (310) 268-3711.Contact Information
Primary practice address
11301 Wilshire Blvd Emergency Department
Los Angeles CA 90073-1003
Phone: (310) 268-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A92752 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.30306 | Alabama |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A92752 | California |
Profile Details
| NPI number | 1497725758 |
|---|---|
| LBN Legal business name | Darnsteadt, Derrick R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Apr 26th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497725758 | NPPES |
| Alabama | Other | 1497725758 | TRICARE SOUTH |
| Alabama | Other | Z10777 | TRICARE SOUTH |
| Alabama | MEDICAID | 122003 | TRICARE SOUTH |
| Alabama | MEDICAID | 128507 | TRICARE SOUTH |
| Alabama | Other | 511-09380 | TRICARE SOUTH |
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