Provider Demographics
NPI:1316170228
Name:SHLANGER, DAFNA (DAFI) (MA)
Entity type:Individual
Prefix:MISS
First Name:DAFNA (DAFI)
Middle Name:
Last Name:SHLANGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-3030
Mailing Address - Country:US
Mailing Address - Phone:310-310-3500
Mailing Address - Fax:
Practice Address - Street 1:1145 GAYLEY AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3423
Practice Address - Country:US
Practice Address - Phone:310-208-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program