Individual
DANIEL JAMES ZAMORA ANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 ARMSTRONG DR, PLACENTIA, CA 92870-2407
(562) 310-1374
Mailing address
450 ARMSTRONG DR, PLACENTIA, CA 92870-2407
(562) 310-1374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20037
STATE LICENSE NUMBER
CA
Enumeration date
11/05/2008
Last updated
08/25/2014
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