Basic Information
| Provider Information | |||||||||
| NPI: | 1962673046 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAIK | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | YOUNG | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1455 MONTEGO | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945982990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256273440 | ||||||||
| FaxNumber: | 9256273450 | ||||||||
| Practice Location | |||||||||
| Address1: | 1455 MONTEGO | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945982990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256273440 | ||||||||
| FaxNumber: | 9256273450 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2008 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | A116295 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
No ID Information.