Individual
MR. DANIEL IRACHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1795 GOULD ST, LOMA LINDA, CA 92354-1716
(909) 838-3335
Mailing address
1795 GOULD ST, LOMA LINDA, CA 92354-1716
(909) 838-3335
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
PA63428
CA
Other
Enumeration date
04/13/2023
Last updated
10/03/2023
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