Trader, David W
Trader, David W is an sole proprietor health care provider with primary practice located at 9911 W Pico Blvd Suite 1460, Los Angeles CA 90035-2703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Trader, David W can be contacted via phone (310) 277-3883.Contact Information
Primary practice address
9911 W Pico Blvd Suite 1460
Los Angeles CA 90035-2703
Phone: (310) 277-3883
Fax: (310) 277-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G48528 | California |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | G48528 | California |
Profile Details
| NPI number | 1093878134 |
|---|---|
| LBN Legal business name | Trader, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093878134 | NPPES |
| California | MEDICAID | G048528 |
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