Daniel Leon Cole III
Individual provider Active NPI Rehabilitation Practitioner · Culver City, CA
NPI 1497953137 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497953137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 3828 Delmas Ter
Culver City, CA 90232-2713 - Phone
- (310) 253-9494
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
3828 Delmas Ter
Culver City, CA 90232-2713
Mailing address
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone (310) 945-3350
Other providers in Culver City, CA
- Maria A. Cobian Alvarado
- Rhonda Coffer
- Yasaman Cohanim
- Jacob Cohen
- Lynn Cohen
- Kerri Cole
- Ruby Cole
- Annette Coleman
- Sylvia Coleman
- Lauren Elizabeth Coles
All providers in Culver City, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.