Basic Information
| Provider Information | |||||||||
| NPI: | 1548227721 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOWARD D. DANIEL, MD PROFESSIONAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9933 MACARTHUR BLVD | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946054853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105683206 | ||||||||
| FaxNumber: | 5105682807 | ||||||||
| Practice Location | |||||||||
| Address1: | 9933 MACARTHUR BLVD | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946054853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105683206 | ||||||||
| FaxNumber: | 5105682807 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DANIEL | ||||||||
| AuthorizedOfficialFirstName: | HOWARD | ||||||||
| AuthorizedOfficialMiddleName: | DOUGLAS | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5105683206 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | G7418 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.