Healthcare Provider Details

I. General information

NPI: 1679641922
Provider Name (Legal Business Name): DANIEL BROOKS CHAPIN DD, CISM, BCATSM,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 W TOWN AND COUNTRY RD
ORANGE CA
92868-4712
US

IV. Provider business mailing address

1122 E 21ST ST
SANTA ANA CA
92705-7000
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-7559
  • Fax: 714-543-4431
Mailing address:
  • Phone: 714-656-8659
  • Fax: 714-638-8343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: