Healthcare Provider Details

I. General information

NPI: 1982510038
Provider Name (Legal Business Name): DARLEEN RENEE SAMOOREA AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23519 DEER SPRING LN
DIAMOND BAR CA
91765-2332
US

IV. Provider business mailing address

23519 DEER SPRING LN
DIAMOND BAR CA
91765-2332
US

V. Phone/Fax

Practice location:
  • Phone: 626-826-0978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAG08260045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: