Lama, Daniel J

Lama, Daniel J is an individual health care provider with primary practice located at 489 E 21St St , San Bernardino CA 92404-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lama, Daniel J can be contacted via phone (909) 882-2973.

Contact Information

Primary practice address
489 E 21St St San Bernardino CA 92404-4816
Fax: (909) 882-2681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G684420 California

Profile Details

NPI number 1972517928
LBN Legal business name Lama, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 2nd, 2008 - about 16 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 1972517928 NPPES
California Other 00G684220 BLUE CROSS/BLUE SHIELD
California Other 340008330 BLUE CROSS/BLUE SHIELD
California MEDICAID 00G684420 BLUE CROSS/BLUE SHIELD

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