Provider Demographics
NPI:1801102884
Name:ANGULO, DANIEL A (DC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:ANGULO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:HANALEI
Mailing Address - State:HI
Mailing Address - Zip Code:96714-0246
Mailing Address - Country:US
Mailing Address - Phone:808-346-2667
Mailing Address - Fax:
Practice Address - Street 1:5-5522 KUHIO HWY.
Practice Address - Street 2:UNIT 2
Practice Address - City:HANALEI
Practice Address - State:HI
Practice Address - Zip Code:96714
Practice Address - Country:US
Practice Address - Phone:808-346-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor