Individual
DANSE BI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64061
MN
207RG0100X
Gastroenterology Physician
1015590
MA
207RG0100X
Gastroenterology Physician
Primary
A200817
CA
Other
Enumeration date
04/06/2017
Last updated
03/07/2025
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