Basic Information
Provider Information
NPI: 1043872062
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARNELL
FirstName: JULIA
MiddleName: CAHILL
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11301 WILSHIRE BLVD BLDG 500
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900731003
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 11301 WILSHIRE BLVD BLDG 500
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900731003
CountryCode: US
TelephoneNumber: 3104783711
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2019
LastUpdateDate: 06/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X37672CAN Pharmacy Service ProvidersPharmacist 
183500000X81549CAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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