Healthcare Provider Details

I. General information

NPI: 1376832519
Provider Name (Legal Business Name): DANIEL DAVID PARRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 HICKEY BLVD 2ND FLOOR PEDIATRICS
DALY CITY CA
94015-2770
US

IV. Provider business mailing address

395 HICKEY BLVD 2ND FLOOR PEDIATRICS
DALY CITY CA
94015-2770
US

V. Phone/Fax

Practice location:
  • Phone: 650-742-2050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA1376832519
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: