Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL J HEADRICK, M.D.
Active Sole ProprietorMR. DANIEL J HEADRICK, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1770649816 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SAN JUAN CAPISTRANO, CA
Registration Details
- NPI Number
- 1770649816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2006 (19.655370692751 yrs)
- Last Updated
- Aug 23, 2021
- Licenses
-
G45144 (CA)00G451440 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32301 CAMINO CAPISTRANO STE JSAN JUAN CAPISTRANO, CA, 926754512Browse CA providers · Browse ZIP 92675
- Phone
- 8009000444
- Fax
- 9496060491
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.