Healthcare Provider Details

I. General information

NPI: 1669264370
Provider Name (Legal Business Name): DARIA MANUELA REGO NREMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 DE NEVE DR
LOS ANGELES CA
90024-8307
US

IV. Provider business mailing address

930 TAHOE BLVD SUITE 802 PMB 588
INCLINE VILLAGE NV
89451
US

V. Phone/Fax

Practice location:
  • Phone: 415-760-4091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE202319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: