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NPI Code Detail

MEDICARE: DANIEL ERVIN

MEDICARE: DANIEL ERVIN
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1275358673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ERVIN
Provider Business Mailing Address
First Line : PO BOX 494100
Second Line :
City : REDDING
State : CA
Zip : 96049-4100
Country : US
Telephone Number : 530-351-2874
Fax Number :
Provider Business Practice Location Address
First Line : 3960 WALNUT DR
Second Line :
City : EUREKA
State : CA
Zip : 95503-8938
Country : US
Telephone Number : 707-268-8722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2024
Last Update Date : 12/02/2025

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Directions to “ DANIEL ERVIN ” Practice Location

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