Houston, Daryl K
Houston, Daryl K is an sole proprietor health care provider with primary practice located at 3831 Hughes Ave 707, Culver City CA 90232-2751. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Houston, Daryl K can be contacted via phone (310) 838-7381.Contact Information
Primary practice address
3831 Hughes Ave 707
Culver City CA 90232-2751
Phone: (310) 838-7381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G036313 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G036313 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G036313 | California |
Profile Details
| NPI number | 1295861433 |
|---|---|
| LBN Legal business name | Houston, Daryl K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2007 |
| Last updated | Aug 21st, 2014 - about 10 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 | 1295861433 | NPPES |
| California | MEDICAID | 006363130 |
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