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NPI Code Detail

MEDICARE: DANIEL O'BRIEN

MEDICARE: DANIEL O'BRIEN
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
1207RC0000XCardiovascular Disease PhysicianA165839CA

General Provider Information

NPI Number : 1023512431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL O'BRIEN
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 DEEP VALLEY DR STE 100
Second Line :
City : ROLLING HILLS ESTATES
State : CA
Zip : 90274-7606
Country : US
Telephone Number : 310-303-3953
Fax Number : 310-303-7903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 03/25/2026

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Directions to “ DANIEL O'BRIEN ” Practice Location

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