Individual
MICHAEL ALAN DONATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
(310) 943-3521
Mailing address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
(310) 943-3521
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A177661
CA
2084P0800X
Psychiatry Physician
A177661
CA
2084P0800X
Psychiatry Physician
PTL644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
39 STUDENT,HEALTH CARE
CA
05
—
A177661
—
CA
Enumeration date
10/15/2017
Last updated
09/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us