Individual provider · Type 1 NPI
Daniel Jonathan Lanzarin Iv, CADC-CAS C
Rehabilitation Practitioner · San Carlos, CA
NPI number
1659694073
Active
Practice location
550 Quarry Rd Fl 3
San Carlos, CA 94070-6221
Fax (650) 598-2860
Mailing address
550 Quarry Rd, 3rd Floor
San Carlos, CA 94070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C031100215 (CA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 122789 (CA) |
| Case Manager/Care Coordinator | 171M00000X | C031100215 (CA) |
| Rehabilitation Practitioner Primary | 225400000X | C031100215 (CA) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Another provider at this address
About NPI 1659694073
Daniel Jonathan Lanzarin Iv, CADC-CAS C's National Provider Identifier is 1659694073, issued on Mar 12, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Carlos, CA. The record was last updated on Aug 12, 2025.