Healthcare Provider Details

I. General information

NPI: 1316872690
Provider Name (Legal Business Name): DANIEL GALPERIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 NOVA ALBION WAY APT 27
SAN RAFAEL CA
94903-3548
US

IV. Provider business mailing address

225 NOVA ALBION WAY APT 27
SAN RAFAEL CA
94903-3548
US

V. Phone/Fax

Practice location:
  • Phone: 415-769-8223
  • Fax:
Mailing address:
  • Phone: 415-769-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberCPT-0015944
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPHAA.VB.70051643
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPHAT.0019448
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: