Organization
DANIELA MICIC MD INC
Active
Organization
DANIELA MICIC MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA MICIC MD (SOLE OWNER/PRESIDENT)
(213) 840-8284
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD STE 724E, SANTA MONICA, CA 90404-2170
(310) 829-9060
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A122430
CA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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