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Contact Information

DANIELLE K MOUL, MD
303 BROADWAY ST STE 104 PMB 135
LAGUNA BEACH, CA92651
 Phone: 410-952-6996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DANIELLE K MOUL · (Female)

NPI Number 1700091113
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2007
Last updated 09/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A104213
  • OH License # 57.007895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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