Individual
DAN T LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6673 FOOTHILL BLVD, TUJUNGA, CA 91042-2706
(818) 265-2250
(818) 265-2268
Mailing address
6673 FOOTHILL BLVD, TUJUNGA, CA 91042-2706
(818) 265-2250
(818) 265-2268
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A84795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20219
GROUP ID
CA
Enumeration date
07/19/2006
Last updated
08/14/2025
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