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Individual

DANIEL L KULICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
26800 CROWN VALLEY PKWY, SUITE 120, MISSION VIEJO, CA 92691-6384
(949) 364-3388
(949) 364-5026
Mailing address
26800 CROWN VALLEY PKWY STE 120, MISSION VIEJO, CA 92691-8033
(949) 364-3388

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G47622
CA
207RI0011X
Interventional Cardiology Physician
Primary
G47622
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G476220
CA
Enumeration date
12/27/2005
Last updated
11/05/2021
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