Individual
DANIELLE MICHELLE EHSANIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Mailing address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134882
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2022
Last updated
01/12/2026
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