Individual
DR. DANIEL MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4520 EXECUTIVE DR STE 105, SAN DIEGO, CA 92121-3019
(858) 450-5900
(858) 450-5904
Mailing address
4520 EXECUTIVE DR STE 105, SAN DIEGO, CA 92121-3019
(858) 450-5900
(858) 450-5904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G63920
CA
Other
Enumeration date
12/15/2006
Last updated
03/11/2011
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