# MICHAEL C DAIGNAULT MD PC

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

## Provider details

- **NPI number:** 1689164089
- **Authorized official:** MICHAEL C DAIGNAULT MD (PRESIDENT)
- **Authorized official phone:** (818) 341-0103

## Contact information

- **Practice address:** 6411 SEPULVEDA BLVD STE 2B, VAN NUYS, CA 91411-1304
- **Practice address phone:** (818) 341-0103
- **Practice address fax:** (818) 341-0106
- **Mailing address:** 6411 SEPULVEDA BLVD STE 2B, VAN NUYS, CA 91411-1304
- **Mailing address phone:** (818) 341-0103
- **Mailing address fax:** (818) 341-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 05/11/2018