Provider Demographics
NPI:1699936997
Name:DONATH, CHERYL (DPM)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:DONATH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2408
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-2408
Mailing Address - Country:US
Mailing Address - Phone:661-471-2235
Mailing Address - Fax:661-750-4292
Practice Address - Street 1:1990 WESTWOOD BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4674
Practice Address - Country:US
Practice Address - Phone:310-475-5377
Practice Address - Fax:310-446-1825
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CA4966213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program