Individual
DANIEL VICARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A143512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A435120
—
CA
01
—
2598313
GHI
CA
01
—
830001305
RAILROAD MEDICARE
CA
Enumeration date
06/25/2006
Last updated
04/08/2025
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