Raphael, Dan

Raphael, Dan is an individual health care provider with primary practice located at 280 S Main St , Orange CA 92868-3852. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Raphael, Dan can be contacted via phone (714) 634-4567.

Contact Information

Primary practice address
280 S Main St Orange CA 92868-3852
Phone: (714) 634-4567
Fax: (714) 634-4569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18785 California

Profile Details

NPI number 1427182864
LBN Legal business name Raphael, Dan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 19th, 2015 - about 9 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 1427182864 NPPES
California Other PA18785 ST LICENSE

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