Healthcare Provider Details

I. General information

NPI: 1831674233
Provider Name (Legal Business Name): NARILYN NOP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 CREEK RD
IRVINE CA
92604-4724
US

IV. Provider business mailing address

PO BOX 1242
LOS ALAMITOS CA
90720-1242
US

V. Phone/Fax

Practice location:
  • Phone: 949-297-3838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number95010179
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95010179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: