Individual
DANIEL BETAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4074
Mailing address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354-2804
(909) 558-4884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A157747
CA
Other
Enumeration date
05/22/2017
Last updated
07/02/2020
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