Provider Demographics
NPI:1093312373
Name:DANIEL NIKU MD INC
Entity Type:Organization
Organization Name:DANIEL NIKU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-970-5604
Mailing Address - Street 1:1838 WESTHOLME AVE UNIT 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8318
Mailing Address - Country:US
Mailing Address - Phone:818-970-5604
Mailing Address - Fax:
Practice Address - Street 1:150 N ROBERTSON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2144
Practice Address - Country:US
Practice Address - Phone:310-652-9347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty