Dr. Danielle Tammy Roth, O.D.
Optometrist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1336588805
StatusActive
Last updated in NPPESDec 8, 2017
Details
- NPI
- 1336588805
- Entity type
- Individual (NPI-1)
- Name
- Dr. Danielle Tammy Roth
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2013
- Last updated
- Dec 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 14623 | CA | Yes |
Practice location
511 S Fairfax AveLos Angeles, CA 90036-3130
Phone 323-879-9259
Mailing address
511 S Fairfax AveLos Angeles, CA 90036-3130
Phone 323-879-9259
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