Individual
DR. DANIEL VITANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 WASHINGTON BLVD, MARINA DEL REY, CA 90292-5287
(310) 923-1437
Mailing address
PO BOX 2277, VENICE, CA 90294-2277
(310) 923-1437
(310) 439-3701
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20835
NH
2084N0400X
Neurology Physician
4301502449
MI
2084N0400X
Neurology Physician
A143344
CA
2084N0400X
Neurology Physician
T1593
TX
2084N0600X
Clinical Neurophysiology Physician
Primary
A143344
CA
Other
Enumeration date
04/29/2014
Last updated
03/24/2026
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