MEDICARE: DR. DENA LOFTHUS FLORCZYK M.D.

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	207Q00000X	Family Medicine Physician	A112444	CA
2	207QS0010X	Sports Medicine (Family Medicine) Physician	A112444	CA
3	207R00000X	Internal Medicine Physician	A112444	CA
4	207RS0010X	Sports Medicine (Internal Medicine) Physician	A112444	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1427184480	OTHER	CA	CCS PANELED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427184480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENA LOFTHUS FLORCZYK M.D.

Provider Business Mailing Address
First Line	:	221 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1703
Country	:	US
Telephone Number	:	310-825-4073
Fax Number	:	310-267-1996

Provider Business Practice Location Address
First Line	:	221 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1703
Country	:	US
Telephone Number	:	310-825-4073
Fax Number	:	310-267-1996

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	12/17/2024

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Directions to “ DR. DENA LOFTHUS FLORCZYK M.D.” Practice Location

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