Individual
DR. DANIEL KIDANE GOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
Mailing address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A112723
CA
207RP1001X
Pulmonary Disease Physician
Primary
A112723
CA
282N00000X
General Acute Care Hospital
A112723
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2007
Last updated
07/22/2013
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