Organization
DANIEL GARDNER, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GARDNER M.D. (PRESIDENT)
(858) 560-5609
Entity
Organization
Contact information
Practice address
4550 KEARNY VILLA RD, SUITE 214, SAN DIEGO, CA 92123-1578
(858) 560-5609
(858) 560-5609
Mailing address
4550 KEARNY VILLA RD, SUITE 214, SAN DIEGO, CA 92123-1578
(858) 560-5609
(858) 560-5609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G27104
CA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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