Individual
DANIEL TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(833) 574-2273
Mailing address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
176847
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
01/08/2025
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