MEDICARE: DANUTA DELNITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A67444	CA

General Provider Information

NPI Number	:	1003916834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANUTA DELNITZ MD

Provider Business Mailing Address
First Line	:	34052 LA PLZ STE 102
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2571
Country	:	US
Telephone Number	:	949-240-8555
Fax Number	:	949-240-9040

Provider Business Practice Location Address
First Line	:	34052 LA PLZ
Second Line	:	STE 102
City	:	DANA POINT
State	:	CA
Zip	:	92629-2587
Country	:	US
Telephone Number	:	949-240-8555
Fax Number	:	949-240-9040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	01/07/2013

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