Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G23477 | CA |
NPI | 1114141561 |
---|---|
Provider Name | Dr. Hal C Danzer |
First Address | Los Angeles, CA 90049-2020 |
Second Address | Beverly Hills, CA 90210-4226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A90827 | (02) | CA |