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General NPI Number Information
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NPI Number | 1447273263
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Entity Type | Organization
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Legal Business Name | DAN LA MD INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 6673 FOOTHILL BLVD
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City | TUJUNGA
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State | CA
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Zip | 91042-2706
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Country | US
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Telephone | 818-265-2250
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Fax | 818-265-2268
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Provider Business Mailing Address
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Address Line | 6673 FOOTHILL BLVD
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City | TUJUNGA
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State | CA
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Zip | 91042-2706
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Country | US
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Telephone | 818-265-2250
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Fax | 818-265-2268
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Authorized Official
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Title or Position | OWNER/M.D.
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Name | DR. DAN LA
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Credential | M.D.
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Telephone | 818-265-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A84795
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License Number State | CA
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