Individual provider · NPI-1

Daniel Acevedo, PA-C

Physician Assistant · Stanford, CA

NPI number1700507571
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1700507571
Entity type
Individual (NPI-1)
Name
Daniel Acevedo
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 8, 2022
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant62962CAYes

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Other practice locations

444 Saratoga Ave Apt 40a
Santa Clara, CA 95050-6209

Phone 949-338-3381

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