Individual
DR. DANIEL J COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
31154
AZ
207L00000X
Anesthesiology Physician
Primary
G50369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050092272
RR MEDICARE
AZ
05
—
756835
—
AZ
01
—
86080015085259A860
TRIWEST
AZ
Enumeration date
12/02/2005
Last updated
07/17/2019
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