MEDICARE: DR. KAROL DARSA PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY19847	CA

General Provider Information

NPI Number	:	1265768287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAROL DARSA PSY.D.

Provider Business Mailing Address
First Line	:	719 HOWARD ST
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-5514
Country	:	US
Telephone Number	:	310-713-9855
Fax Number	:	310-821-8261

Provider Business Practice Location Address
First Line	:	719 HOWARD ST
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-5514
Country	:	US
Telephone Number	:	310-713-9855
Fax Number	:	310-821-8261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	05/18/2026

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