Individual
DR. DAVID ALOYSIUS VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
1800 SULLIVAN AVENUE, SUITE 207, DALY CITY, CA 94015-2222
(650) 992-0463
(650) 992-8912
Mailing address
1800 SULLIVAN AVENUE, SUITE 207, DALY CITY, CA 94015-2222
(650) 992-0463
(650) 992-8912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G51966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088110
—
CA
01
—
ZZZ60314Z
BLUE SHIELD GROUP #
CA
Enumeration date
01/18/2006
Last updated
10/17/2012
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