Provider Demographics
NPI:1801052089
Name:NATHANSON, MARGARET RAE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RAE
Last Name:NATHANSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:RAE
Other - Last Name:CAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1820 BENECIA AVE
Mailing Address - Street 2:UNIT 205
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-825-8373
Mailing Address - Fax:
Practice Address - Street 1:1820 BENECIA AVE
Practice Address - Street 2:UNIT 205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-825-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD72693207R00000X
DC148042207R00000X
CA125143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine