Individual
ETHAN H DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 610-2001
(408) 610-3880
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G56875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G568750
—
CA
Enumeration date
10/31/2006
Last updated
09/23/2019
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