MEDICARE: ANALYN DANAN

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	225100000X	Physical Therapist	36130	CA

General Provider Information

NPI Number	:	1841688876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANALYN DANAN

Provider Business Mailing Address
First Line	:	17724 HALSTED ST
Second Line	:	UNIT B
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-2025
Country	:	US
Telephone Number	:	818-205-7223
Fax Number	:

Provider Business Practice Location Address
First Line	:	17724 HALSTED ST
Second Line	:	UNIT B
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-2025
Country	:	US
Telephone Number	:	818-205-7223
Fax Number	:

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

Provider Enumeration Date	:	12/29/2014
Last Update Date	:	12/29/2014

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Directions to “ ANALYN DANAN ” Practice Location

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