Organization Name: | CHRISTINE DANIEL MD INC |
NPI Number: | 1316007834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE DANIEL (MEDICAL DIRECTOR) |
Mailing Address: | 15314 Devonshire Street Suite I Mission Hills |
State: | CA US |
Postal Code: | 91345 |
Phone Number: | 8189202000 |
Fax Number: | 8189200099 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G42176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |