Provider Demographics
NPI:1326595000
Name:CANDELA, DAYNA (DPT)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:CANDELA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S BARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1622
Mailing Address - Country:US
Mailing Address - Phone:917-662-7164
Mailing Address - Fax:
Practice Address - Street 1:5478 WILSHIRE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4225
Practice Address - Country:US
Practice Address - Phone:323-936-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15380225100000X
CAPT291788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist