Individual
MR. DANIEL J HEADRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32301 CAMINO CAPISTRANO STE J, SAN JUAN CAPISTRANO, CA 92675-4512
(800) 900-0444
(949) 606-0491
Mailing address
PO BOX 6747, HUNTINGTON BEACH, CA 92615-6747
(714) 377-3749
(714) 377-5642
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
00G451440
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
G45144
CA
Other
Enumeration date
12/30/2006
Last updated
08/23/2021
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