Provider Demographics
NPI:1447391693
Name:ENG, DANIEL K (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:K
Last Name:ENG
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8227 DAY CREEK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-8568
Mailing Address - Country:US
Mailing Address - Phone:909-899-0245
Mailing Address - Fax:909-899-1293
Practice Address - Street 1:34500 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-2089
Practice Address - Country:US
Practice Address - Phone:760-321-8124
Practice Address - Fax:760-324-1069
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA8712T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist