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Contact Information

MICHAEL A DONATH
604 ROSE AVE
VENICE, CA90291-2767
 Phone: 310-392-8636
 Fax: 310-943-3521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL A DONATH · (Male)

NPI # 1083125207
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2017
Last updated 09/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A177661
  • CA License # PTL644
  • CA Medicaid A177661
  • CA Other 390200000X 39 STUDENT,HEALTH CARE
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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