Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT33422 | CA |
NPI | 1003265877 |
---|---|
Provider Name | Daniel Situ |
First Address | San Francisco, CA 94110-2512 |
Second Address | San Francisco, CA 94111-4903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2016 |
Last Update Date | 04/10/2016 |