Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A82520 | CA |
N | 111NI0900X | Internist | A82520 | CA |
N | 207RG0300X | Geriatric Medicine | A82520 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | A82520 | CA |
NPI | 1255419800 |
---|---|
Provider Name | Dr. Maria V Danilychev |
First Address | San Diego, CA 92108-3434 |
Second Address | San Diego, CA 92121-4737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/07/2020 |