Provider Demographics
NPI:1528531316
Name:DAUNA MARIE HEALTH CARE INC
Entity type:Organization
Organization Name:DAUNA MARIE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GRANVILLE
Authorized Official - Middle Name:HILLEN
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-522-6735
Mailing Address - Street 1:3755 BEVERLY BLVD APT 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3540
Mailing Address - Country:US
Mailing Address - Phone:323-522-6735
Mailing Address - Fax:323-522-6704
Practice Address - Street 1:3755 BEVERLY BLVD APT 303
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3540
Practice Address - Country:US
Practice Address - Phone:323-522-6735
Practice Address - Fax:323-522-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty