MEDICARE: DR. DANIEL ALAN PLOTKIN M.D., M.P.H.

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	2084P0805X	Geriatric Psychiatry Physician	G39712	CA

General Provider Information

NPI Number	:	1942332960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ALAN PLOTKIN M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1823 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5532
Country	:	US
Telephone Number	:	310-477-7855
Fax Number	:	310-477-0661

Provider Business Practice Location Address
First Line	:	1823 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5532
Country	:	US
Telephone Number	:	310-477-7855
Fax Number	:	310-477-0661

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	02/24/2010

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