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Organization
DANIEL PHILIP LODER MD INC
Active
Organization
DANIEL PHILIP LODER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PHILIP LODER M.D. (MEDICAL DIRECTOR)
(310) 448-3459
Entity
Organization
Contact information
Practice address
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
(310) 448-3459
(310) 388-3259
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A91446
CA
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
02/26/2021
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