Daniels, Ethan H

Daniels, Ethan H is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Daniels, Ethan H can be contacted via phone (408) 851-1000.

Contact Information

Primary practice address
710 Lawrence Expy Santa Clara CA 95051-5173
Phone: (408) 851-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G56875 California

Profile Details

NPI number 1699852558
LBN Legal business name Daniels, Ethan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699852558 NPPES
California MEDICAID 00G568750

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