Healthcare Provider Details

I. General information

NPI: 1811208895
Provider Name (Legal Business Name): DANIEL A STRAUCHLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13280 EVENING CREEK DR S STE 110
SAN DIEGO CA
92128-4109
US

IV. Provider business mailing address

13280 EVENING CREEK DR S STE 110
SAN DIEGO CA
92128-4109
US

V. Phone/Fax

Practice location:
  • Phone: 855-835-3723
  • Fax:
Mailing address:
  • Phone: 855-835-3723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number280772
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: