Provider Type Icon

DAN LA MD INC NPI 1447273263


NPI Information

NPI: 1447273263
Provider Name: DAN LA MD INC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 05D1061268

Address:
801 S CHEVY CHASE DR
STE 101
GLENDALE, CA
ZIP 91205
Phone: (818) 265-2250
Get Directions

DAN LA MD INC is a rheumatology internal medicine in Glendale, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DAN LA MD INC NPI is 1447273263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 S CHEVY CHASE DR
STE 101
GLENDALE, CA
ZIP 91205-431
Phone: (818) 265-2250
Fax: (818) 265-2268

The provider's authorized official is Dan La .
The authorized official title is Owner/m.d. and has the following contact phone number (818) 265-2250.

The CLIA number assigned to this NPI record is 05D1061268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyA84795CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W20219MEDICARE PINCALIFORNIA
200A847950MEDICAIDCALIFORNIA
3A84795OTHERCALIFORNIACA MEDICAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.