Provider Demographics
NPI:1023675998
Name:JAMES, DANIEL SAMUEL (CPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SAMUEL
Last Name:JAMES
Suffix:
Gender:M
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3974 SORRENTO VALLEY BLVD # 910877
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1410
Mailing Address - Country:US
Mailing Address - Phone:877-257-9778
Mailing Address - Fax:
Practice Address - Street 1:3974 SORRENTO VALLEY BLVD # 910877
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1410
Practice Address - Country:US
Practice Address - Phone:877-257-9778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT00066963246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty