Individual
MATTHEW DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
(818) 452-9902
Mailing address
12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
(818) 452-9902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5516
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
12/17/2021
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