Individual
DR. DANIEL RADNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1016 S ROBERTSON BLVD, 101, LOS ANGELES, CA 90035-1505
(310) 985-4124
(310) 652-9292
Mailing address
12409 TEXAS AVE, APT 09, LOS ANGELES, CA 90025-1970
(310) 985-4124
(310) 652-9292
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
92103
CA
208D00000X
General Practice Physician
A92103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A921030
—
CA
Enumeration date
07/25/2006
Last updated
02/03/2023
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