Individual
DR. DANIEL RENGSTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 DE ANZA BLVD, SAN MATEO, CA 94402-3913
(650) 341-9131
Mailing address
2900 WHIPPLE AVE STE 245, REDWOOD CITY, CA 94062-2851
(650) 365-3700
(650) 368-3836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A75430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0025350
—
CA
01
—
ZZZ12647Z
BLUE SHIED
CA
Enumeration date
10/27/2006
Last updated
10/07/2024
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