Provider Demographics
NPI:1235954033
Name:DANON, CALEEN (GC)
Entity type:Individual
Prefix:
First Name:CALEEN
Middle Name:
Last Name:DANON
Suffix:
Gender:F
Credentials:GC
Other - Prefix:
Other - First Name:CALEEN
Other - Middle Name:
Other - Last Name:BLACKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3179 MATARO ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3131
Mailing Address - Country:US
Mailing Address - Phone:626-264-2932
Mailing Address - Fax:
Practice Address - Street 1:74 N PASADENA AVE FL 8
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3670
Practice Address - Country:US
Practice Address - Phone:626-381-5974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000101170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS