Provider Demographics
NPI:1366816225
Name:PERMAN, DANIEL (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:PERMAN
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 MCCARTHY BLVD STE 1045
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7451
Mailing Address - Country:US
Mailing Address - Phone:631-662-5423
Mailing Address - Fax:
Practice Address - Street 1:1525 MCCARTHY BLVD STE 1045
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7451
Practice Address - Country:US
Practice Address - Phone:631-662-5423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33545111N00000X
CA20171192111NN0400X
NYX012742-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111N00000XChiropractic ProvidersChiropractor