MEDICARE: DAISY CHEESEMAN

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1821147679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISY CHEESEMAN

Provider Business Mailing Address
First Line	:	667 S DETROIT ST APT 309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-7128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 PONTIUS AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1809
Country	:	US
Telephone Number	:	310-478-8066
Fax Number	:

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1629125059 — NATIONWIDE MEDICAL GROUP, INC
Practice Location Address:

2321 PONTIUS AVE
LOS ANGELES, CA
90064-1809

Practice Phone: 310-478-8066
Practice Fax: 310-478-8821

1851448278 — JAMES ROBERT MCKINNEY PH.D.
Practice Location Address:

2321 PONTIUS AVE
LOS ANGELES, CA
90064-1809

Practice Phone: 310-478-8066
Practice Fax: 310-478-8821

1841535002 — NATIONAL GENETICS INSTITUTE
Practice Location Address:

2311 PONTIUS AVE
LOS ANGELES, CA
90064-1809

Practice Phone: 310-996-0036
Practice Fax:

1659309896 — SUSAN J MACKENSEN M.D.
Practice Location Address:

1809 PREUSS RD
LOS ANGELES, CA
90035-4313

Practice Phone: 310-838-3092
Practice Fax: 310-287-0656

1063639474 — MR. MATTHEW TODD CARLSON LPCC
Practice Location Address:

1809 N BERENDO ST APT 307
LOS ANGELES, CA
90027-4189

Practice Phone: 612-601-5970
Practice Fax:

1487902565 — JOSHUA MICHAEL ROBERS NP
Practice Location Address:

1809 S POINT VIEW ST
LOS ANGELES, CA
90035-4623

Practice Phone: 646-234-8696
Practice Fax:

Directions to “ DAISY CHEESEMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.