Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E5089 | CA |
N | 222Z00000X | Podiatrist | E5089 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E5089 | CA |
N | 2081S0010X | Sports Medicine | E5089 | CA |
N | 213ES0000X | Sports Medicine | E5089 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | E5089 | CA |
N | 213ES0131X | Foot Surgery | E5089 | CA |
NPI | 1346537859 |
---|---|
Provider Name | Dr. Daniel E Recalde |
First Address | Fountain Valley, CA 92708-7506 |
Second Address | Fountain Valley, CA 92708-7506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 06/04/2017 |