MEDICARE: DR. DANIEL ESSIN 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	208000000X	Pediatrics Physician	G30164	CA

General Provider Information

NPI Number	:	1477695047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ESSIN MD

Provider Business Mailing Address
First Line	:	379 N ENCINITAS AVE
Second Line	:
City	:	MONROVIA
State	:	CA
Zip	:	91016-2209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 N MISSION RD
Second Line	:	ROOM 1L32
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-1019
Country	:	US
Telephone Number	:	323-226-3188
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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