Healthcare Provider Details

I. General information

NPI: 1659233047
Provider Name (Legal Business Name): DO GOOD DANIELS FAMILY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 E PACIFIC COAST HWY
LONG BEACH CA
90806-5661
US

IV. Provider business mailing address

941 E PACIFIC COAST HWY
LONG BEACH CA
90806-5661
US

V. Phone/Fax

Practice location:
  • Phone: 424-224-7902
  • Fax:
Mailing address:
  • Phone: 424-224-7902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT DANIELS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 424-224-7902