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Individual

ANTONIO DIAZ GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 PARNASSUS AVE # M1094, BOX 0111, SAN FRANCISCO, CA 94143-2204
(415) 476-5896
(415) 476-5712
Mailing address
3514 26TH ST, UNIT 2, SAN FRANCISCO, CA 94110-4414
(916) 548-9991
(415) 476-5712

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A86536
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A86536
CA
207RP1001X
Pulmonary Disease Physician
Primary
A86536
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A865360
CA
Enumeration date
08/02/2006
Last updated
04/29/2026
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