Individual
DANIEL EUGENE FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(951) 816-9241
Mailing address
24351 COPPERHEAD CIR, MURRIETA, CA 92562-6142
(951) 816-9241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA56594
CA
Other
Enumeration date
02/22/2019
Last updated
09/12/2024
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