Provider Demographics
NPI:1538514872
Name:DANIEL CAPEN MD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DANIEL CAPEN MD, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-803-0600
Mailing Address - Street 1:15901 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-2655
Mailing Address - Country:US
Mailing Address - Phone:562-803-0600
Mailing Address - Fax:562-401-4311
Practice Address - Street 1:15901 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2655
Practice Address - Country:US
Practice Address - Phone:562-803-0600
Practice Address - Fax:562-401-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-24
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty