DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL ALAN DONATH

Active

MICHAEL ALAN DONATH is a Psychosomatic Medicine healthcare provider located in VENICE, California. NPI 1083125207 is currently active in the NPPES registry. Verify at CMS.

Psychosomatic Medicine · VENICE, CA

Registration Details

NPI Number
1083125207
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2017 (8.8550102531606 yrs)
Last Updated
Sep 17, 2024
Licenses
PTL644 (CA)
A177661 (CA)
A177661 (CA)

Practice Information

Address
604 ROSE AVE
VENICE, CA, 902912767
Browse CA providers · Browse ZIP 90291
Phone
3103928636
Fax
3109433521
Primary Specialty
Psychosomatic Medicine
2084P0015X
Additional Specialty
Psychosomatic Medicine
Additional Specialty
Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.