MEDICARE: GUY DANON DPM INC

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

General Provider Information

NPI Number	:	1437431244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUY DANON DPM INC

Provider Business Mailing 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	:	310-234-0384

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	:	310-234-0384

Authorized Official
Title or Position	:	CEO
Name	:	DR. GUY D DANON
Credential	:	DPM
Telephone Number	:	562-208-9407

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	09/16/2011

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