DARRYL WILLOUGHBY M.D. INC NPI 1770725145

NPI Information

  • NPI: 1770725145
  • Provider Name: DARRYL WILLOUGHBY M.D., INC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 1414 S GRAND AVE
    SUITE 307
    LOS ANGELES, CA
    ZIP 90015
  • Phone: (213) 765-8088

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NPI Details

DARRYL WILLOUGHBY M.D., INC is an orthopaedic surgery in Los Angeles, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DARRYL WILLOUGHBY M.D., INC NPI is 1770725145. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 S GRAND AVE
SUITE 307
LOS ANGELES, CA
ZIP 90015-067
Phone: (213) 765-8088
Fax: (310) 329-3239

The provider's authorized official is Darryl A Willoughby .
The authorized official title is Sole Proprietor and has the following contact phone number (310) 968-6012.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA54030CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A540300MEDICAIDCALIFORNIA
2A54030AMEDICARE PIN
3A54030MEDICARE PINCALIFORNIA
4H07181MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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