# DONALD R. KNOTTS, M.D. INC

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

## Provider details

- **NPI number:** 1750589560
- **Authorized official:** DONALD R. KNOTTS M.D. (OWNER)
- **Authorized official phone:** (510) 886-3701

## Contact information

- **Practice address:** 20130 LAKE CHABOT RD, SUITE 309, CASTRO VALLEY, CA 94546-5340
- **Practice address phone:** (510) 886-3701
- **Practice address fax:** (510) 537-3194
- **Mailing address:** 20130 LAKE CHABOT RD, SUITE 309, CASTRO VALLEY, CA 94546-5340
- **Mailing address phone:** (510) 886-3701
- **Mailing address fax:** (510) 537-3194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G35548 | CA | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020