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Individual

MR. DANIEL KISHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HAD

Contact information

Practice address
1850 S WATERMAN AVE, SUITE A, SAN BERNARDINO, CA 92408-2877
(310) 488-7244
Mailing address
5940 LINDLEY AVE, ENCINO, CA 91316-1047
(310) 488-7244

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA7303
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518148790
CA
Enumeration date
11/16/2007
Last updated
11/04/2015
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