Heustis, Darryl G

Heustis, Darryl G is an individual health care provider with primary practice located at 11370 Anderson St Ste 2960, Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Heustis, Darryl G can be contacted via phone (909) 558-6422.

Contact Information

Primary practice address
11370 Anderson St Ste 2960 Loma Linda CA 92354-3450
Phone: (909) 558-6422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G29068 California
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X G29068 California

Profile Details

NPI number 1841210382
LBN Legal business name Heustis, Darryl G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 16th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841210382 NPPES
California MEDICAID 00G290680

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