Provider Demographics
NPI:1861152357
Name:DAYRIT, ROBBIN ILAGAN (NP)
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:ILAGAN
Last Name:DAYRIT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2642 S BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2414
Mailing Address - Country:US
Mailing Address - Phone:213-448-6833
Mailing Address - Fax:
Practice Address - Street 1:2642 S BEDFORD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2414
Practice Address - Country:US
Practice Address - Phone:213-448-6833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018447363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology