Provider Demographics
NPI:1366881773
Name:URIAS, DANIEL S (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:URIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1635 W LINCOLN AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5558
Mailing Address - Country:US
Mailing Address - Phone:405-501-1891
Mailing Address - Fax:
Practice Address - Street 1:1500 E KATELLA AVE STE P
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6303
Practice Address - Country:US
Practice Address - Phone:714-844-6334
Practice Address - Fax:714-464-8646
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.146239208200000X
LA313047208200000X
PAMT205017208600000X
CAA-178104208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery