Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Broussard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053726554

Daniel Broussard is a Student in an Organized Health Care Education/Training Program in Loma Linda, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Loma Linda, CA

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 111281 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 111281 (CA)

Record details

NPI number1053726554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2014
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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