Individual provider · Type 1 NPI

Darryl Eugene Boston, BASW

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1265620264 Active

Practice location

1720 E 120th St
Los Angeles, CA 90059-3052

Call (310) 603-7008 Map

Mailing address

946 Menlo Ave
Los Angeles, CA 90006-2804

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265620264

Darryl Eugene Boston, BASW's National Provider Identifier is 1265620264, issued on Oct 4, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 4, 2007.