# DANIEL PHILIP LODER MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043754351
- **Authorized official:** DANIEL PHILIP LODER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 448-3459

## Contact information

- **Practice address:** 8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
- **Practice address phone:** (310) 448-3459
- **Practice address fax:** (310) 388-3259
- **Mailing address:** PO BOX 3129, TORRANCE, CA 90510-3129
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2016
- **Last updated:** 02/26/2021