Provider Demographics
NPI:1235132556
Name:HUNTING, DANIEL B (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:HUNTING
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 1:450 4TH AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4429
Mailing Address - Country:US
Mailing Address - Phone:619-420-0201
Mailing Address - Fax:619-425-7795
Practice Address - Street 1:450 4TH AVE
Practice Address - Street 2:STE 303
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-4429
Practice Address - Country:US
Practice Address - Phone:619-420-0201
Practice Address - Fax:619-425-7795
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37178208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C371780Medicaid
CA00C371780Medicaid
CAA36520Medicare UPIN