Healthcare Provider Details

I. General information

NPI: 1700467834
Provider Name (Legal Business Name): DANIEL ALEKYAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 PARALLEL DR STE C
LAKEPORT CA
95453-5708
US

IV. Provider business mailing address

987 PARALLEL DR STE C
LAKEPORT CA
95453-5708
US

V. Phone/Fax

Practice location:
  • Phone: 707-262-5088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20A24537
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2773
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: