Provider Demographics
NPI:1962763979
Name:MONLUX, DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:MONLUX
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 ORANGE AVE # 229
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-2619
Mailing Address - Country:US
Mailing Address - Phone:850-378-2439
Mailing Address - Fax:
Practice Address - Street 1:4295 GESNER ST STE 3A2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6646
Practice Address - Country:US
Practice Address - Phone:619-320-5511
Practice Address - Fax:888-959-1101
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254821207Q00000X
FLME137725207Q00000X
ALMD.38157207Q00000X
CAC182803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine