MEDICARE: FELICIA BOAKYE-DANKWAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0800X	Psychiatry Physician	A166756	CA

General Provider Information

NPI Number	:	1124524517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA BOAKYE-DANKWAH MD

Provider Business Mailing Address
First Line	:	9942 CULVER BLVD
Second Line	:	P.O BOX 373
City	:	CULVER CITY
State	:	CA
Zip	:	90232-1972
Country	:	US
Telephone Number	:	614-218-7924
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 WILSHIRE BLVD STE 6428
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90073-1003
Country	:	US
Telephone Number	:	614-218-7924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	07/12/2021

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