Provider Demographics
NPI:1316007834
Name:CHRISTINE DANIEL MD INC
Entity Type:Organization
Organization Name:CHRISTINE DANIEL MD INC
Other - Org Name:SONRISE MEDICAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-920-2000
Mailing Address - Street 1:PO BOX 950969
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91395
Mailing Address - Country:US
Mailing Address - Phone:818-920-2000
Mailing Address - Fax:818-920-0099
Practice Address - Street 1:15314 DEVONSHIRE STREET
Practice Address - Street 2:SUITE I
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345
Practice Address - Country:US
Practice Address - Phone:818-920-2000
Practice Address - Fax:818-920-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42176208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty