Individual
DANIELLE ELIZABETH FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12555 W JEFFERSON BLVD STE 302, LOS ANGELES, CA 90066-7032
(424) 443-5600
(424) 443-5606
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A124996
CA
2080P0207X
Pediatric Hematology & Oncology Physician
A124996
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2010
Last updated
02/13/2024
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