Provider Demographics
NPI:1558450700
Name:LAHANA, DANIEL ALCAHE (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALCAHE
Last Name:LAHANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 N ROXBURY DR
Mailing Address - Street 2:#1007
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-271-5722
Mailing Address - Fax:310-276-5845
Practice Address - Street 1:465 N ROXBURY DR
Practice Address - Street 2:#1007
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-271-5722
Practice Address - Fax:310-276-5845
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG13371207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G133710Medicaid
CAG13371Medicare ID - Type Unspecified
CA00G133710Medicaid