Provider Demographics
NPI:1033406780
Name:LEARNED, DANIEL LEE (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:LEARNED
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 1:525 E MICHELTORENA ST STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-4211
Mailing Address - Country:US
Mailing Address - Phone:805-963-1648
Mailing Address - Fax:805-965-5214
Practice Address - Street 1:525 E MICHELTORENA ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-4211
Practice Address - Country:US
Practice Address - Phone:805-963-1648
Practice Address - Fax:805-965-5214
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099094207W00000X
MA262169207W00000X
CAA146139207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology