Provider Demographics
NPI:1861125163
Name:DANIELLE GIACONA DO INC
Entity type:Organization
Organization Name:DANIELLE GIACONA DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CYRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-481-0938
Mailing Address - Street 1:699 W TEFFT ST STE A
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-9288
Mailing Address - Country:US
Mailing Address - Phone:805-619-5610
Mailing Address - Fax:805-619-5179
Practice Address - Street 1:699 W TEFFT ST STE A
Practice Address - Street 2:
Practice Address - City:NIPOMO
Practice Address - State:CA
Practice Address - Zip Code:93444-9288
Practice Address - Country:US
Practice Address - Phone:805-619-5610
Practice Address - Fax:805-619-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty