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

Daniel Ichwan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740711589

Daniel Ichwan is an Emergency Medicine in Arcadia, California. Graduated from University of California, Geffen School of Medicine in 2017, 9 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

300 W Huntington Dr
Arcadia, CA 91007-3402
Phone: (626) 898-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3020 Childrens Way, San Diego, CA 92123-4223 — (858) 966-8036

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A157952 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740711589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESFebruary 8, 2024
Certification dateDecember 16, 2023
Mailing addressPo Box 31309, Los Angeles, CA 90031-0309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Arcadia