| Daniel V. Ehrensaft, Md A Professional Corp. | |
|
3831 Hughes Ave Suite 603 Culver City CA 90232-2751 | |
| (310) 202-9145 | |
| (310) 202-0188 |
| Full Name | Daniel V. Ehrensaft, Md A Professional Corp. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3831 Hughes Ave, Culver City, California |
| Authorized Official Name and Position | Daniel Victor Ehrensaft (PRESIDENT) |
| Authorized Official Contact | 3102029145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel V. Ehrensaft, Md A Professional Corp. 3831 Hughes Ave Suite 603 Culver City CA 90232-2751 Ph: (310) 202-9145 | Daniel V. Ehrensaft, Md A Professional Corp. 3831 Hughes Ave Suite 603 Culver City CA 90232-2751 Ph: (310) 202-9145 |
| NPI Number | 1265724769 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265724769 | NPI | - | NPPES |
| 00G226760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G22676 (California) | Primary |
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