1780901322 NPI number — DR. VICTORIA LIN DANHAKL MD

Table of content: (NPI 1689140063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780901322 NPI number — DR. VICTORIA LIN DANHAKL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DANHAKL
Provider First Name:
VICTORIA
Provider Middle Name:
LIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIN
Provider Other First Name:
VICTORIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780901322
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17717 CALLE DE PALERMO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PACIFIC PALISADES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90272-2008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-993-2553
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17717 CALLE DE PALERMO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PACIFIC PALISADES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90272-2008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-993-2553
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  A157524 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , with the licence number: 280754 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)