Provider Demographics
NPI:1720226053
Name:BEILIN, DANIEL B (LAC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:BEILIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9057 SOQUEL DR
Mailing Address - Street 2:AB
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4001
Mailing Address - Country:US
Mailing Address - Phone:831-685-1125
Mailing Address - Fax:831-685-1128
Practice Address - Street 1:9057 SOQUEL DR
Practice Address - Street 2:AB
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4001
Practice Address - Country:US
Practice Address - Phone:831-685-1125
Practice Address - Fax:831-685-1128
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2205171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist