Individual provider · Type 1 NPI

Daniel Jacob Boudagian

Specialist · Novato, CA

NPI number 1851283337 Active

Practice location

201 Alameda Del Prado Ste 103
Novato, CA 94949-6698

Call (415) 457-6964 Map

Mailing address

128 Valleyview Way
South San Francisco, CA 94080-5561

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851283337

Daniel Jacob Boudagian's National Provider Identifier is 1851283337, issued on Jul 17, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Novato, CA. The record was last updated on Jul 17, 2025.