Individual
DANIEL GREGORY HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-1311
Mailing address
27401 LOS ALTOS, SUITE 180, MISSION VIEJO, CA 92691-6316
(949) 582-9624
(949) 582-9626
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A857600
BLUE SHIELD
CA
05
—
00A857600
—
CA
Enumeration date
06/07/2006
Last updated
09/13/2010
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