National Provider Identifier
Daniel John Ludeman, PA-C
Daniel John Ludeman, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Warsaw, NY and a listed phone number of (714) 928-9642.
Profile Overview
- NPI
- 1639746043
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 06, 2021
- Last Updated
- October 25, 2023
Practice Location
- 1013 W Buffalo St
- Warsaw, NY 14569-9701
Phone: (714) 928-9642
Mailing Address
- 4784 Lakeview Ave
- Yorba Linda, CA 92886-2488
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1639746043
- Entity Type
- Individual
- Last Name
- Ludeman
- First Name
- Daniel
- Middle Name
- John
- Credential
- PA-C
- Mailing Street Address
- 4784 Lakeview Ave
- Mailing City
- Yorba Linda
- Mailing State
- CA
- Mailing ZIP Code
- 92886-2488
- Mailing Country
- US
- Mailing Phone
- (714) 928-9642
- Practice Street Address
- 1013 W Buffalo St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-9701
- Practice Country
- US
- Practice Phone
- (714) 928-9642
- Enumeration Date
- June 06, 2021
- Last Updated
- October 25, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)