MEDICARE: DANIELLE ALEXANDRA LENAHAN 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	2084P0800X	Psychiatry Physician	A182032	CA

General Provider Information

NPI Number	:	1417583345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ALEXANDRA LENAHAN MD

Provider Business Mailing Address
First Line	:	1112 MONTANA AVE STE C406
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1652
Country	:	US
Telephone Number	:	323-686-1551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 MONTANA AVE STE C406
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1652
Country	:	US
Telephone Number	:	323-686-1551
Fax Number	:

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

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	02/11/2026

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