Healthcare Provider Details

I. General information

NPI: 1750841581
Provider Name (Legal Business Name): DR. ISABEL DENNAHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SANTA MONICA BLVD
SANTA MONICA CA
90404-2312
US

IV. Provider business mailing address

2200 SANTA MONICA BLVD
SANTA MONICA CA
90404-2312
US

V. Phone/Fax

Practice location:
  • Phone: 310-449-5291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA207036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: