Individual
DANIEL EYTAN FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S. FARRELL DRIVE, SUITE B160, PALM SPRINGS, CA 92262-7954
(310) 246-1040
(310) 246-1306
Mailing address
400 S. FARRELL DRIVE, SUITE B160, PALM SPRINGS, CA 92262-7954
(310) 246-1040
(310) 246-1306
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G35299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061732
MANAGED HEALTH NETWORK
CA
Enumeration date
06/08/2005
Last updated
12/20/2019
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