Individual
DR. DAN VASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
18522 US HIGHWAY 18 STE 102, APPLE VALLEY, CA 92307-2321
(760) 242-7707
(760) 242-1133
Mailing address
18522 US HIGHWAY 18 STE 102, APPLE VALLEY, CA 92307-2321
(760) 242-7707
(760) 242-1133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841353869
—
CA
01
—
651204047
TAX ID
CA
Enumeration date
12/19/2006
Last updated
12/18/2018
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