Individual
DANIEL SPELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 W OCEAN BLVD, 1703, LONG BEACH, CA 90802-7939
(562) 212-6536
Mailing address
40 S CHESTNUT PL, UNIT 5102, LONG BEACH, CA 90802-8143
(562) 212-6536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20779
CA
Other
Enumeration date
02/27/2012
Last updated
11/30/2016
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