Individual ProviderDaniel HeikaliInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311(310) 423-3977PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Heikali is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1578958724Provider TypeIndividualFull NameHeikali, DanielTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/4/2015Last Updated5/18/2023Contact InformationPractice LocationPractice Address127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311Phone(310) 423-3977Fax(310) 423-0106Mailing LocationMailing Address4140 W 190th St, Torrance, CA 90504-5513PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA146329CaliforniaCode207RI0011XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA146329CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia