Individual
DANYAL OMAR IMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A193017
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2021
Last updated
06/25/2024
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