Individual
DAN T LA
Active
Individual
DAN T LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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