Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | SL6635 | CA |
NPI | 1063850360 |
---|---|
Provider Name | Mr. Effat Danial |
First Address | San Francisco, CA 94132-1633 |
Second Address | San Francisco, CA 94132-1633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2013 |
Last Update Date | 07/06/2013 |