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Individual

DR. DAIZY ENGINEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688-2651
(949) 459-9968
(949) 766-2565
Mailing address
2742 DOW AVE, TUSTIN, CA 92780-7242
(714) 665-1600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G80913
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G809130
CA
Enumeration date
10/26/2005
Last updated
03/31/2011
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