NPI Information
- NPI:
1760917835
- Provider Name:
DANIEL JOE, M.D.
- Classification:
Pediatrics - 208000000X
- Entity Type:
Individual
- PECOS Registration: Yes
- Address:
11441 HEACOCK ST STE C
MORENO VALLEY, CA
ZIP 92557
- Phone:
(909) 558-8142
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207R00000X | Internal Medicine | | A159720 | CALIFORNIA | No |
2 | 208000000X | Pediatrics | | A159720 | CALIFORNIA | Yes |