Individual
DANIEL GARDNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 KEARNY VILLA RD, SUITE 214, SAN DIEGO, CA 92123-1578
(858) 560-5609
(858) 560-5609
Mailing address
13725 MAR SCENIC DR, DEL MAR, CA 92014-3426
(858) 560-5609
(858) 560-5609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G27104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G271D40
—
CA
Enumeration date
11/30/2005
Last updated
07/08/2007
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