Daniel Thomas Ennaco, is a
Psychologist based in Tarzana, California. Daniel Thomas Ennaco is licensed to practice in * (Not Available) (license number ) and his current practice location is
18646 Oxnard St, Tarzana, California. He can be reached at his office (for appointments etc.) via phone at
(818) 996-1051.
NPI number for Daniel Thomas Ennaco is 1811442585 and his current mailing address is 1804 S 8th St, Alhambra, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811442585.
Healthcare Provider's Profile
| Full Name | Daniel Thomas Ennaco |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 18646 Oxnard St, Tarzana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811442585
- Provider Enumeration Date: 08/23/2016
- Last Update Date: 10/10/2019
Medical Identifiers
Medical identifiers for Daniel Thomas Ennaco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811442585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Thomas Ennaco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daniel Thomas Ennaco,
1804 S 8th St,
Alhambra, CA 91803-3419
Ph: (760) 797-5542 | Daniel Thomas Ennaco,
18646 Oxnard St,
Tarzana, CA 91356-1411
Ph: (818) 996-1051 |
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