| Dr Daniel Vitantonio, MD | |
|
475 Washington Blvd, Marina Del Rey, CA 90292-5287 | |
| (310) 923-1437 | |
| Not Available |
| Full Name | Dr Daniel Vitantonio |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 12 Years |
| Location | 475 Washington Blvd, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083024145 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| California Pacific Medical Ctr-davies Campus Hosp | San francisco, CA | Hospital |
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Kaweah Delta Medical Center | Visalia, CA | Hospital |
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gamma Neuro Network Inc | 5294187290 | 5 |
| Gamma Neuro Network Inc | 5294187290 | 5 |
| Entity Name | Gamma Neuro Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992413157 PECOS PAC ID: 5294187290 Enrollment ID: O20240116000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Vitantonio, MD Po Box 2277, Venice, CA 90294-2277 Ph: (310) 923-1437 | Dr Daniel Vitantonio, MD 475 Washington Blvd, Marina Del Rey, CA 90292-5287 Ph: (310) 923-1437 |
Dr. Janice Carter, M.D. M.P.H. F.A.A.P. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3136 Stanford Ave, Marina Del Rey, CA 90292 Phone: 310-825-9989 Fax: 310-821-3280 | |
Dr. Irvin D Godofsky, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292 Phone: 310-822-1771 Fax: 310-822-1771 | |
Merima-misirca Jurici, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13160 Mindanao Way Ste 213, Marina Del Rey, CA 90292 Phone: 925-282-1778 Fax: 415-296-5299 | |
Rajan Bahl, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Blvd, #476, Marina Del Rey, CA 90292 Phone: 415-857-5202 | |
Mr. Wesley Christopher Ryan, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4519 Admiralty Way Ste 202, Marina Del Rey, CA 90292 Phone: 424-272-0774 Fax: 424-291-8944 | |
Dr. Ignez Jansen Penna, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4316 Marina Del Rey Drive, # 1031, Marina Del Rey, CA 90292 Phone: 310-823-1230 |