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1063653962 NPI number — SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION

NPI Number: 1063653962
Health Care Provider/Practitioner: SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION

Information about “1063653962” NPI (SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION) exists in 1063653962 in HTML format HTML  |  1063653962 in plain Text format TXT  |  1063653962 in PDF (Portable Document Format) PDF  |  1063653962 in an XML format XML  formats.

NPI Number : 1063653962 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063653962",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11411 BROOKSHIRE AVE",
    "SecondLineMailingAddress": "SUITE 502",
    "MailingAddressCityName": "DOWNEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90241-5026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-622-9975",
    "MailingAddressFaxNumber": "562-923-9447",
    "FirstLinePracticeLocationAddress": "11411 BROOKSHIRE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 502",
    "PracticeLocationAddressCityName": "DOWNEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90241-5026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-622-9975",
    "PracticeLocationAddressFaxNumber": "562-923-9447",
    "EnumerationDate": "03/23/2009",
    "LastUpdateDate": "03/23/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DANNA",
    "AuthorizedOfficialFirstName": "SALVATORE",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "562-622-7216",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA15685",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "C36260",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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