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Individual

DR. DANIEL ENAYATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3175 E. FIRESTONE BLVD, SOUTH GATE, CA 90280-2951
(323) 567-8910
(323) 567-8953
Mailing address
3175 E. FIRESTONE BLVD, SOUTH GATE, CA 90280-2951
(323) 567-8910
(323) 567-8953

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A55940
CA

Other

Enumeration date
03/14/2007
Last updated
01/14/2011
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