Individual
DANIEL WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, RM 14-19, LOS ANGELES, CA 90095-3075
(310) 825-2111
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G88782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G887820
—
CA
05
—
01652280
—
NY
Enumeration date
12/29/2006
Last updated
01/13/2020
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