Provider Demographics
NPI:1487646550
Name:GIORDANO, DANIEL R
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:GIORDANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:R
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1201 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2306
Mailing Address - Country:US
Mailing Address - Phone:661-327-4357
Mailing Address - Fax:661-327-1758
Practice Address - Street 1:2701 CALLOWAY DR
Practice Address - Street 2:#400
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2621
Practice Address - Country:US
Practice Address - Phone:661-589-9066
Practice Address - Fax:661-589-4209
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT6284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21295ZOtherMEDICARE GROUP PTAN
CA756650631OtherRAILROAD MEDICARE PTAN
CA00PT62841Medicare ID - Type Unspecified