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

Daniel Formano, SFIDC

Individual provider Independent Duty Corpsman · NPI 1619644028

Daniel Formano, SFIDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (619) 532-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1619644028
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

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