| Daniel S. Bandari, M.d. Inc | |
|
24012 Calle De La Plata Ste 210 Laguna Hills CA 92653-7623 | |
| (949) 706-5580 | |
| (949) 706-5585 |
| Full Name | Daniel S. Bandari, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24012 Calle De La Plata Ste 210, Laguna Hills, California |
| Authorized Official Name and Position | Daniel S. Bandari (PRESIDENT) |
| Authorized Official Contact | 9497065580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S. Bandari, M.d. Inc 24012 Calle De La Plata Ste 210 Laguna Hills CA 92653-7623 Ph: (949) 706-5580 | Daniel S. Bandari, M.d. Inc 24012 Calle De La Plata Ste 210 Laguna Hills CA 92653-7623 Ph: (949) 706-5580 |
| NPI Number | 1750521605 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Medicare PECOS PAC ID | 5294883179 |
|---|---|
| Medicare Enrollment ID | O20090504000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750521605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A84350 (California) | Primary |
| Provider Name | Daniel S Bandari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467482216 PECOS PAC ID: 3375597719 Enrollment ID: I20050308001110 |
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