Provider Demographics
NPI:1063653962
Name:SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-622-7216
Mailing Address - Street 1:11411 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5026
Mailing Address - Country:US
Mailing Address - Phone:562-622-9975
Mailing Address - Fax:562-923-9447
Practice Address - Street 1:11411 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5026
Practice Address - Country:US
Practice Address - Phone:562-622-9975
Practice Address - Fax:562-923-9447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC362602084N0400X
CAPA15685363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty