Healthcare Provider Details

I. General information

NPI: 1720226053
Provider Name (Legal Business Name): DANIEL B. BEILIN L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9057 SOQUEL DR AB
APTOS CA
95003-4001
US

IV. Provider business mailing address

9057 SOQUEL DR AB
APTOS CA
95003-4001
US

V. Phone/Fax

Practice location:
  • Phone: 831-685-1125
  • Fax: 831-685-1128
Mailing address:
  • Phone: 831-685-1125
  • Fax: 831-685-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2205
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: