Organization
DANIELA DRAKE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELA DRAKE MD (PHYSICIAN)
(310) 464-0873
Entity
Organization
Contact information
Practice address
7305 HANNUM AVE, CULVER CITY, CA 90230-6150
(310) 464-0873
Mailing address
7305 HANNUM AVE, CULVER CITY, CA 90230-6150
(310) 464-0873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G75951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EJ072A
MEDICARE PTAN
—
Enumeration date
11/27/2015
Last updated
11/27/2015
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