Provider Demographics
NPI:1629019781
Name:KAHLER, DANIEL EDWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:KAHLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 TENNESSEE ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3453
Mailing Address - Country:US
Mailing Address - Phone:415-641-5312
Mailing Address - Fax:415-641-5312
Practice Address - Street 1:3555 CESAR CHAVEZ
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4403
Practice Address - Country:US
Practice Address - Phone:415-641-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7235208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A72352Medicare ID - Type UnspecifiedCPMC/SAN FRANCISCO, CA
CA020A72350Medicare ID - Type UnspecifiedSUTTER SOLANO/VALLEJO, CA
CAG83490Medicare UPIN
CA020A72351Medicare ID - Type UnspecifiedMPHS/BURLINGAME, CA