Healthcare Provider Details

I. General information

NPI: 1053531467
Provider Name (Legal Business Name): NADIM DAGHER M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13950 MILTON AVE 404
WESTMINSTER CA
92683-2900
US

IV. Provider business mailing address

13950 MILTON AVE 404
WESTMINSTER CA
92683-2900
US

V. Phone/Fax

Practice location:
  • Phone: 714-895-7944
  • Fax: 714-890-5530
Mailing address:
  • Phone: 714-895-7944
  • Fax: 714-890-5530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA98565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: