Provider Demographics
NPI:1801945175
Name:SARINANA, DANIEL MARCOS (CERTIFIED MASSAGE TH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:MARCOS
Last Name:SARINANA
Suffix:
Gender:M
Credentials:CERTIFIED MASSAGE TH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:27045 CAMINO DE ESTRELLA
Mailing Address - Street 2:UNIT B
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624
Mailing Address - Country:US
Mailing Address - Phone:760-521-0512
Mailing Address - Fax:
Practice Address - Street 1:27045 CAMINO DE ESTRELLA
Practice Address - Street 2:UNIT B
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624
Practice Address - Country:US
Practice Address - Phone:949-240-7535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL50047105225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11235OtherCMTC