Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitos Rachel Roa Daling

Individual provider Registered Nurse · NPI 1972118263

Mitos Rachel Roa Daling is a Nurse Practitioner in Harbor City, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone: (310) 721-9344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017489 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 721799 (CA)

Record details

NPI number1972118263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2020
Last updated in NPPESDecember 30, 2024
Certification dateApril 25, 2022
Mailing address25825 Vermont Ave, Harbor City, CA 90710-3518

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Harbor City