Healthcare Provider Details

I. General information

NPI: 1194687491
Provider Name (Legal Business Name): DARLINA HIDALGO REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9367 VICTORY BLVD SUITE 14
RESEDA CA
91335
US

IV. Provider business mailing address

11568 NORRIS AVE
SAN FERNANDO CA
91340-2535
US

V. Phone/Fax

Practice location:
  • Phone: 818-343-8116
  • Fax:
Mailing address:
  • Phone: 818-554-3442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number9181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: