Individual
MR. DANIEL MARYANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
1340 S BEVERLY GLEN BLVD APT 315, LOS ANGELES, CA 90024-5224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95182713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95182713
CA BOARD OF REGISTERED NURSING
CA
Enumeration date
11/24/2015
Last updated
04/27/2020
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