Individual
DR. DANIEL V CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6327 N. FRESNO STREET, SUITE 104, FRESNO, CA 93710-5236
(559) 431-4020
(559) 431-4589
Mailing address
6327 N. FRESNO STREET, SUITE 104, FRESNO, CA 93710-5236
(559) 431-4020
(559) 431-4589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A68636
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A68636
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A68636
CA
208M00000X
Hospitalist Physician
Primary
A68636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686360
—
CA
Enumeration date
06/30/2005
Last updated
11/01/2018
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