Charles Shane Daniels MD
Charles Shane Daniels MD is a Physical Medicine & Rehabilitation Physician in Lake Forest, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
25652 Old Trabuco RdLake Forest, CA 92630-2776
Phone: (714) 456-3472
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Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence A94985 (CA) |
|---|
Record details
| NPI number | 1205182615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Daniels — Physician Owner · (714) 456-3472 |
| NPI enumerated | August 3, 2012 |
| Last updated in NPPES | August 3, 2012 |
| Mailing address | 34145 Pacific Coast Hwy, 603, Dana Point, CA 92629-2808 |
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