Individual
THEODOROS MICHAEL DASKALAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2141 N HARBOR BLVD, SUITE 35000, FULLERTON, CA 92835-3827
(714) 626-8630
(714) 626-8659
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A90653
CA
208600000X
Surgery Physician
Primary
A90653
CA
Other
Enumeration date
05/27/2006
Last updated
04/29/2013
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