Individual
DANNY SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 GRANADA ST, LOS ANGELES, CA 90065-1701
(323) 495-3458
Mailing address
3211 GRANADA ST, LOS ANGELES, CA 90065-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54093
CA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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