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NPI Code Detail

MEDICARE: DR. DANIELLA ORNER

MEDICARE: DR. DANIELLA ORNER
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
11223G0001XGeneral Practice DentistryDDS102285CA

General Provider Information

NPI Number : 1376029892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLA ORNER
Provider Business Mailing Address
First Line : 1512 S CENTINELA AVE APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-3638
Country : US
Telephone Number : 516-491-9176
Fax Number :
Provider Business Practice Location Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-274-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2018
Last Update Date : 07/18/2018

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Directions to “ DR. DANIELLA ORNER ” Practice Location

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