Healthcare Provider Details

I. General information

NPI: 1154238004
Provider Name (Legal Business Name): DANIELLE DRUCKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5926 MONTEREY RD
LOS ANGELES CA
90042-4943
US

IV. Provider business mailing address

1115 W SUNSET BLVD APT 104
LOS ANGELES CA
90012-3973
US

V. Phone/Fax

Practice location:
  • Phone: 323-373-6810
  • Fax:
Mailing address:
  • Phone: 323-373-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: