Organization
DANIEL AYALA M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AYALA MD (CEO, PRESIDENT)
(832) 338-0446
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
PO BOX 11198, BEVERLY HILLS, CA 90213-4198
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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