# GOBAUD ORTHOPAEDIC MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710005806
- **Authorized official:** DANIEL SASAN GOBAUD MD (PRESIDENT)
- **Authorized official phone:** (909) 621-6737

## Contact information

- **Practice address:** 10202 CENTRAL AVE, MONTCLAIR, CA 91763-3802
- **Practice address phone:** (909) 621-6737
- **Practice address fax:** (909) 625-4598
- **Mailing address:** 10202 CENTRAL AVE, MONTCLAIR, CA 91763-3802
- **Mailing address phone:** (909) 621-6737
- **Mailing address fax:** (909) 625-4598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A32163 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020