NPI

Madonna Daniel

NPI 1164183729

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2022-01-06
Last updated
2023-10-20

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Specialties

Licenses

License CA
35350

Location

Practice location
555 N 13th Ave
City
Upland CA
Postal code
91786-4904
Phone
(909) 277-2420

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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