Organization
DANIEL URIBE MD A PROFESSIONAL CORPORATION
Active
Other names
SAN MARCOS MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL URIBE MD (PRESIDENT)
(562) 807-1877
Entity
Organization
Contact information
Practice address
13307 SAN ANTONIO DR, NORWALK, CA 90650-2970
(562) 807-1877
(562) 868-6795
Mailing address
13307 SAN ANTONIO DR, NORWALK, CA 90650-2970
(562) 807-1877
(562) 868-6795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A420950
—
CA
Enumeration date
01/10/2008
Last updated
08/18/2015
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