Individual
DANIEL DEPMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
831 VIA SUERTE, SUITE 102, SAN CLEMENTE, CA 92673-6531
(949) 364-5600
(949) 364-2231
Mailing address
831 VIA SUERTE, SUITE 102, SAN CLEMENTE, CA 92673-6531
(949) 364-5600
(949) 364-2231
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA140356
CA
Other
Enumeration date
08/12/2006
Last updated
11/04/2015
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