Individual
DAINA ANN DANOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 OCEAN PARK BLVD STE 118, SANTA MONICA, CA 90405-5219
(310) 829-8917
(424) 212-5938
Mailing address
2701 OCEAN PARK BLVD STE 118, SANTA MONICA, CA 90405-5219
(310) 829-8917
(424) 212-5938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A100486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560B
MEDICARE LOCATION PTAN
CA
Enumeration date
10/18/2006
Last updated
03/30/2021
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