MEDICARE: DR. TERESA ANGELLE DARLING MD

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	2084P0800X	Psychiatry Physician	00G72607	CA

General Provider Information

NPI Number	:	1679678163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA ANGELLE DARLING MD

Provider Business Mailing Address
First Line	:	41750 RANCHO LAS PALMAS DR
Second Line	:	SUITE K-5
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-5511
Country	:	US
Telephone Number	:	760-340-9725
Fax Number	:	760-340-9730

Provider Business Practice Location Address
First Line	:	41750 RANCHO LAS PALMAS DR
Second Line	:	SUITE K-5
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-5511
Country	:	US
Telephone Number	:	760-340-9725
Fax Number	:	760-340-9730

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	11/12/2014

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