Provider Demographics
NPI:1770773392
Name:DANIELLE ONSTOT MD, INC.
Entity type:Organization
Organization Name:DANIELLE ONSTOT MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONSTOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-278-7110
Mailing Address - Street 1:451 W. GONZALES RD.
Mailing Address - Street 2:SUITE 260
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0729
Mailing Address - Country:US
Mailing Address - Phone:805-278-7110
Mailing Address - Fax:805-278-7115
Practice Address - Street 1:451 W. GONZALES RD.
Practice Address - Street 2:SUITE 260
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0729
Practice Address - Country:US
Practice Address - Phone:805-278-7110
Practice Address - Fax:805-278-7115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty