Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A87387 | CA |
NPI | 1033214796 |
---|---|
Provider Name | Daniel V White |
First Address | Chula Vista, CA 91910-3813 |
Second Address | Chula Vista, CA 91910-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 20/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A873870 | (05) | CA |
I14885 | (02) | CA |