Most Relevant Information
Provider Data
| NPI Number: | 1003836651 |
| Provider Name: | DANIEL WOHLGELERNTER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | G55314 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 06/22/2020 |
Provider Practice Location
1301 20TH ST
SUITE 590
SANTA MONICA
CA
904042050
Practice Location Phone/Fax
| Phone: | 3103150101 |
| Fax: | 3104534145 |
Provider Mailing Location
2021 SANTA MONICA BLVD
SUITE 212E
SANTA MONICA
CA
904042225
Provider Mailing Phone/Fax
| Phone: | 3104013390 |
| Fax: | 3104534348 |