IndividualActive
Daniel Vitantonio, MD
NPI 1083024145 · Clinical Neurophysiology Physician · Marina Del Rey, CA
Provider details
- NPI number
- 1083024145
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20835 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
475 Washington Blvd
Marina Del Rey, CA 90292-5287
Phone: (310) 923-1437
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2277
Venice, CA 90294-2277
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.