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Daniel Real, MD
General Practice Physician in Loma Linda, California
NPI 1124683628

Daniel Real is a General Practice Physician based in Loma Linda, CA. Daniel Real practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Daniel Real is 1124683628 and holds a License No. 390200000X (California).

The current practice location address for Daniel Real is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4094.

Location: 11234 Anderson St, Loma Linda, CA, 92354-3168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124683628
Provider Name
Daniel Real
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92354-3168
Phone Number
909-558-4094
Fax Number
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4094
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4094
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A179651 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
390200000X ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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