Provider Demographics
NPI:1891915146
Name:SON, DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10444 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5087
Mailing Address - Country:US
Mailing Address - Phone:310-475-6555
Mailing Address - Fax:310-475-6557
Practice Address - Street 1:1977 N GAREY AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2774
Practice Address - Country:US
Practice Address - Phone:909-623-6651
Practice Address - Fax:909-623-0455
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2014-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA1218482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry