Organization
DANIEL V. EHRENSAFT, MD A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL VICTOR EHRENSAFT MD (PRESIDENT)
(310) 202-9145
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE, SUITE 603, CULVER CITY, CA 90232-2751
(310) 202-9145
(310) 202-0188
Mailing address
3831 HUGHES AVE, SUITE 603, CULVER CITY, CA 90232-2751
(310) 202-9145
(310) 202-0188
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G22676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G226760
—
CA
Enumeration date
05/03/2011
Last updated
05/03/2011
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