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General NPI Number Information
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NPI Number | 1962098590
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Entity Type | Individual
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Provider Name | DANNY DELACERDA PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 24329 CRENSHAW BLVD STE A
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City | TORRANCE
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State | CA
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Zip | 90505-5335
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Country | US
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Telephone | 310-868-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 2613 PACIFIC COAST HWY
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City | TORRANCE
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State | CA
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Zip | 90505-7037
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Country | US
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Telephone | 424-625-0220
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 58855
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License Number State | CA
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