Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 18293 | CA |
NPI | 1952698912 |
---|---|
Provider Name | Daniel William Abbeal |
First Address | Rancho Cucamonga, CA 91701-6064 |
Second Address | Rancho Cucamonga, CA 91701-6064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 28/06/2011 |