Provider Demographics
NPI:1164440822
Name:SCHLUND, DANIEL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:SCHLUND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MALL DR
Mailing Address - Street 2:STE 307
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5794
Mailing Address - Country:US
Mailing Address - Phone:559-582-8791
Mailing Address - Fax:559-582-8792
Practice Address - Street 1:125 MALL DR
Practice Address - Street 2:STE 307
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5794
Practice Address - Country:US
Practice Address - Phone:559-582-8791
Practice Address - Fax:559-582-8792
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60662207YX0602X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7529834Medicaid
CA00G606620Medicare ID - Type Unspecified
CA7529834Medicaid