Provider Demographics
NPI:1346351665
Name:DAQUINO, STEPHEN M (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:DAQUINO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:16445 BERNARDO CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2523
Mailing Address - Country:US
Mailing Address - Phone:858-429-0099
Mailing Address - Fax:866-266-8027
Practice Address - Street 1:16445 BERNARDO CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2523
Practice Address - Country:US
Practice Address - Phone:858-429-0099
Practice Address - Fax:866-266-8027
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8442207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI18703Medicare UPIN