Individual
DR. DANIEL R. HOVENSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 N PROSPECT AVE, SUITE 104, REDONDO BEACH, CA 90277-3028
(310) 517-4785
Mailing address
PO BOX 14556, TORRANCE, CA 90503-8556
(310) 517-4785
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G58285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG582850
—
CA
Enumeration date
07/24/2006
Last updated
10/30/2008
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