Most Relevant Information
Provider Data
| NPI Number: | 1003597311 |
| Provider Name: | DANIEL HOUSE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2023 |
| Last Updated: | 07/28/2023 |
Provider Practice Location
1250 N BELLFLOWER BLVD
LONG BEACH
CA
908400004
Practice Location Phone/Fax
| Phone: | 5629854111 |
| Fax: |
Provider Mailing Location
1394 ABRAHAM TER
HARBOR CITY
CA
907102467
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |