Provider Demographics
NPI:1124524517
Name:BOAKYE-DANKWAH, FELICIA (MD)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:BOAKYE-DANKWAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9942 CULVER BLVD
Mailing Address - Street 2:P.O BOX 373
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-1972
Mailing Address - Country:US
Mailing Address - Phone:614-218-7924
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD STE 6428
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:614-218-7924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1667562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program