Individual provider · Type 1 NPI

Daniel Vitantonio, MD

Clinical Neurophysiology Physician · Marina Del Rey, CA

NPI number 1083024145 Active

Practice location

475 Washington Blvd
Marina Del Rey, CA 90292-5287

Mailing address

PO Box 2277
Venice, CA 90294-2277

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X20835 (NH)
Neurology Physician 2084N0400XA143344 (CA)
Neurology Physician 2084N0400X4301502449 (MI)
Clinical Neurophysiology Physician Primary 2084N0600XA143344 (CA)
Neurology Physician 2084N0400XT1593 (TX)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1083024145

Daniel Vitantonio, MD's National Provider Identifier is 1083024145, issued on Apr 29, 2014. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Marina Del Rey, CA. The record was last updated on Mar 24, 2026.