Individual
DANIEL TYLER BOULAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-6298
Mailing address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-6298
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
A141611
CA
Other
Enumeration date
06/02/2010
Last updated
12/06/2021
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