Individual
DANIELA MICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404
(213) 840-8284
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 204-6747
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A122430
CA
Other
Enumeration date
03/29/2011
Last updated
05/15/2018
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