Provider Demographics
NPI:1497824924
Name:FLOWER, DANIAL (MS,FAAA)
Entity Type:Individual
Prefix:MR
First Name:DANIAL
Middle Name:
Last Name:FLOWER
Suffix:
Gender:M
Credentials:MS,FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 HANCOCK ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5157
Mailing Address - Country:US
Mailing Address - Phone:619-224-7822
Mailing Address - Fax:619-224-7822
Practice Address - Street 1:3940 HANCOCK ST
Practice Address - Street 2:SUITE 117
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5157
Practice Address - Country:US
Practice Address - Phone:619-224-7822
Practice Address - Fax:619-224-7822
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU-774231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU-774OtherAUDIOLOGIST LICENSE
CAHA-1664OtherHEARING AID DISPENSER LIC