MEDICARE: DANIEL G VERMILION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G48817	CA

General Provider Information

NPI Number	:	1396863247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL G VERMILION

Provider Business Mailing Address
First Line	:	350 90TH ST FL 2
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-1879
Country	:	US
Telephone Number	:	650-301-8670
Fax Number	:	650-301-8639

Provider Business Practice Location Address
First Line	:	350 90TH ST FL 2
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-1879
Country	:	US
Telephone Number	:	650-301-8670
Fax Number	:	650-301-8639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	11/30/2021

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Directions to “ DANIEL G VERMILION ” Practice Location

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