Provider Demographics
NPI:1407156912
Name:ENG, DANIEL YUN (LPTA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:YUN
Last Name:ENG
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 KAYS AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3417
Mailing Address - Country:US
Mailing Address - Phone:626-307-1982
Mailing Address - Fax:626-307-1982
Practice Address - Street 1:2237 KAYS AVE # 1
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3417
Practice Address - Country:US
Practice Address - Phone:626-307-1982
Practice Address - Fax:626-307-1982
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-31
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 4766171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor