Charles Shane Daniels MD
NPI #1205182615 in Lake Forest, California
Provider Information
- NPI Number
- 1205182615
- Entity Type
- Organization
- Organization Name
- Charles Shane Daniels MD
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Aug 3, 2012
- Last Updated
- Aug 3, 2012
Practice Location
- Address
- 25652 OLD TRABUCO RD
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2776
- Phone
- (714) 456-3472
Authorized Official
- Name
- DR. CHARLES SHANE DANIELS, MD
- Title
- PHYSICIAN OWNER
- Phone
- (714) 456-3472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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