Individual provider · Type 1 NPI
Gina Danesh, DO
General Practice Physician · Los Angeles, CA
NPI number
1629129143
Active
Practice location
1740 S Los Angeles St, 105
Los Angeles, CA 90015-3632
Fax (213) 742-0808
Mailing address
1158 26th St, 449
Santa Monica, CA 90403-4621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 20A8286 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1629129143
Gina Danesh, DO's National Provider Identifier is 1629129143, issued on Jan 12, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.