Individual
DANIEL G SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44216 10TH ST W, LANCASTER, CA 93534-4134
(661) 723-7416
(661) 723-9975
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA13168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13168
MEDI CAL
CA
05
—
PA13168
—
CA
Enumeration date
07/02/2006
Last updated
07/02/2012
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