Basic Information
Provider Information
NPI: 1467881359
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIEV
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 W HANFORD ARMONA RD
Address2:  
City: LEMOORE
State: CA
PostalCode: 932452302
CountryCode: US
TelephoneNumber: 5599246495
FaxNumber:  
Practice Location
Address1: 10415 WESTCHESTER AVE
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921263340
CountryCode: US
TelephoneNumber: 8587222334
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2013
LastUpdateDate: 12/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P0018X68751CAY Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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