Individual
IVAN DANIEL MAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 QUARRY RD, PALO ALTO, CA 94304-1419
(650) 725-5591
Mailing address
1114 VILLAGE DR APT 11, BELMONT, CA 94002-3446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14196745-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
01/15/2025
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