Provider Demographics
NPI:1942235833
Name:DANIELS, MARCEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCEL
Middle Name:F
Last Name:DANIELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 TERMINO AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2105
Mailing Address - Country:US
Mailing Address - Phone:562-597-4575
Mailing Address - Fax:562-597-4509
Practice Address - Street 1:1760 TERMINO AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2105
Practice Address - Country:US
Practice Address - Phone:562-597-4575
Practice Address - Fax:562-597-4509
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG68121AMedicare PIN
CAE95997Medicare UPIN