Iancu, Daciana I.
Iancu, Daciana I. is an individual health care provider with primary practice located at 632 Petaluma Ave , Sebastopol CA 95472-4217. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Iancu, Daciana I. can be contacted via phone (707) 295-3755.Contact Information
Primary practice address
632 Petaluma Ave
Sebastopol CA 95472-4217
Phone: (707) 295-3755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A70894 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A70894 | California |
Profile Details
| NPI number | 1265582084 |
|---|---|
| LBN Legal business name | Iancu, Daciana I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265582084 | NPPES |
| California | MEDICAID | 00A708940 |
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