Organization
DR DANIEL A PAUL OD INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A PAUL O.D. (PRESIDENT)
(909) 627-7518
Entity
Organization
Contact information
Practice address
12530 10TH ST, SUITE A, CHINO, CA 91710-3520
(909) 627-7518
Mailing address
12530 10TH ST, SUITE A, CHINO, CA 91710-3520
(909) 627-7518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085620
—
CA
Enumeration date
04/29/2010
Last updated
11/24/2014
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