Provider Demographics
NPI:1205127198
Name:ABELS, DANIEL G (LAC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:G
Last Name:ABELS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 BRANNAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2004
Mailing Address - Country:US
Mailing Address - Phone:415-529-2762
Mailing Address - Fax:415-926-5939
Practice Address - Street 1:141 BRANNAN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2004
Practice Address - Country:US
Practice Address - Phone:415-529-2762
Practice Address - Fax:415-926-5939
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14071171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist