Individual
MR. DANIEL AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1626 W TEMPLE ST, LOS ANGELES, CA 90026-5027
(213) 353-0610
(213) 353-4802
Mailing address
1626 W TEMPLE ST, LOS ANGELES, CA 90026-5027
(213) 353-0610
(213) 353-4802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00085907
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
02/27/2013
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