Most Relevant Information
Provider Data
| NPI Number: | 1003012162 |
| Provider Name: | DARCESEAN GAMBLE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA 15713 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4955 VAN NUYS BLVD STE 411
SHERMAN OAKS
CA
914031824
Practice Location Phone/Fax
| Phone: | 8187841195 |
| Fax: |
Provider Mailing Location
5137 ONAKNOLL AVE
LOS ANGELES
CA
900431039
Provider Mailing Phone/Fax
| Phone: | 3104032510 |
| Fax: |