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Individual

KYLE DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(951) 818-9768
Mailing address
1010 W. LAVETA, SUITE 755, ORANGE, CA 92868
(714) 543-8911

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55321
CA

Other

Enumeration date
01/29/2018
Last updated
09/28/2023
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