Provider Demographics
NPI:1043370067
Name:S.M. DANIEL CO
Entity Type:Organization
Organization Name:S.M. DANIEL CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY ANN
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:DANIEL-ARCHAMBAULT
Authorized Official - Suffix:
Authorized Official - Credentials:ABC BOC
Authorized Official - Phone:562-693-0446
Mailing Address - Street 1:13211 EAST WHITTIER BLVD
Mailing Address - Street 2:#G
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602
Mailing Address - Country:US
Mailing Address - Phone:562-693-0446
Mailing Address - Fax:562-696-6949
Practice Address - Street 1:13211 EAST WHITTIER BLVD
Practice Address - Street 2:#G
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602
Practice Address - Country:US
Practice Address - Phone:562-693-0446
Practice Address - Fax:562-696-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA178559OtherKAISER PERMANENTE
CAGXC000490Medicaid
CA178559OtherKAISER PERMANENTE