Frederico, Danae

Frederico, Danae is an individual health care provider with primary practice located at 15211 Vanowen St Ste 200 , Van Nuys CA 91405-3606. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Frederico, Danae can be contacted via phone (818) 782-4232.

Contact Information

Primary practice address
15211 Vanowen St Ste 200 Van Nuys CA 91405-3606
Phone: (818) 782-4232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 26279 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 58585 California

Profile Details

NPI number 1417408865
LBN Legal business name Frederico, Danae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2016
Last updated Jan 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417408865 NPPES
California Other 26279 DENTAL HYGIENE COMMITTEE OF CALIFORNIA

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