Provider Demographics
NPI:1215121173
Name:FLOWERS, DANIELLE RODIN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:RODIN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:LISA
Other - Last Name:RODIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20849 VERCELLI WAY
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4309
Mailing Address - Country:US
Mailing Address - Phone:818-700-2636
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:SOUTH 1- 107A
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-2809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88202208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics