| Daniela Drake Md | |
|
7305 Hannum Ave Culver City CA 90230-6150 | |
| (310) 464-0873 | |
| Not Available |
| Full Name | Daniela Drake Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 7305 Hannum Ave, Culver City, California |
| Authorized Official Name and Position | Daniela Drake (PHYSICIAN) |
| Authorized Official Contact | 3104640873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniela Drake Md 7305 Hannum Ave Culver City CA 90230-6150 Ph: (310) 464-0873 | Daniela Drake Md 7305 Hannum Ave Culver City CA 90230-6150 Ph: (310) 464-0873 |
| NPI Number | 1679947808 |
|---|---|
| Provider Enumeration Date | 11/27/2015 |
| Last Update Date | 11/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679947808 | NPI | - | NPPES |
| EJ072A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G75951 (California) | Primary |
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