MEDICARE: DR. GUY DANIEL DANON DPM

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	213E00000X	Podiatrist	E3542	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215978176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY DANIEL DANON DPM

Provider Business Mailing Address
First Line	:	4217 LUTHER ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2853
Country	:	US
Telephone Number	:	951-788-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 WESTHOLME AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3315
Country	:	US
Telephone Number	:	562-208-9407
Fax Number	:	310-341-3142

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	08/16/2018

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