Individual
DANIEL Y PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5115
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA15740
—
CA
Enumeration date
06/14/2006
Last updated
06/09/2008
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