MEDICARE: DR. JOHN JOSEPH DARIN M.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	174400000X	Specialist	C29520	CA

General Provider Information

NPI Number	:	1902801764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN JOSEPH DARIN M.D.

Provider Business Mailing Address
First Line	:	696 HAMPSHIRE RD
Second Line	:	SUITE 120
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-2699
Country	:	US
Telephone Number	:	818-933-6902
Fax Number	:

Provider Business Practice Location Address
First Line	:	696 HAMPSHIRE RD
Second Line	:	SUITE 120
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-2699
Country	:	US
Telephone Number	:	818-933-6902
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/12/2013

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