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

Daniel Panjaitan I

Individual provider Licensed Vocational Nurse · NPI 1619895893

Daniel Panjaitan I is a Licensed Vocational Nurse in Colton, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (909) 580-1800
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 744149 (CA)

Record details

NPI number1619895893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address7625 Oleander Ave, Fontana, CA 92336-1935

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