Provider Demographics
NPI:1477869956
Name:DANIEL CEPIN, M.D.
Entity Type:Organization
Organization Name:DANIEL CEPIN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CEPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-482-0300
Mailing Address - Street 1:890 EASTLAKE PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4520
Mailing Address - Country:US
Mailing Address - Phone:619-482-0300
Mailing Address - Fax:619-482-0959
Practice Address - Street 1:890 EASTLAKE PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4520
Practice Address - Country:US
Practice Address - Phone:619-482-0300
Practice Address - Fax:619-482-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52521207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty