MEDICARE: DR. DANIEL E ERDMAN MD

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	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	G68224	CA

General Provider Information

NPI Number	:	1730152208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL E ERDMAN MD

Provider Business Mailing Address
First Line	:	88 E SAN FERNANDO ST UNIT 510
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95113-2539
Country	:	US
Telephone Number	:	808-255-4774
Fax Number	:	408-498-4952

Provider Business Practice Location Address
First Line	:	14375 SARATOGA AVE STE 101
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-5978
Country	:	US
Telephone Number	:	408-964-0843
Fax Number	:	408-498-4952

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	04/26/2024

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