Individual
DANIEL EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
4054 SAWTELLE BLVD, LOS ANGELES, CA 90066-5408
(740) 975-2746
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95202017
CA
363LF0000X
Family Nurse Practitioner
Primary
95012999
CA
Other
Enumeration date
08/19/2019
Last updated
03/01/2020
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