MEDICARE: DANIEL HONIGMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G38407	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	025236	OTHER	HEALTH NET ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	080138287	OTHER	RAILROAD
4	00G384070	OTHER	BLUE SHIELD ID #

General Provider Information

NPI Number	:	1154375541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HONIGMAN M.D.

Provider Business Mailing Address
First Line	:	3180 COLIMA RD
Second Line	:	SUITE A
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-6315
Country	:	US
Telephone Number	:	626-961-1644
Fax Number	:	626-333-1079

Provider Business Practice Location Address
First Line	:	3120 S HACIENDA BLVD STE 101
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-6305
Country	:	US
Telephone Number	:	833-402-5804
Fax Number	:	626-478-2145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	12/06/2018

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Directions to “ DANIEL HONIGMAN M.D.” Practice Location

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