Individual
DAVID M PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 250, MISSION VIEJO, CA 92691-6384
(949) 364-0644
(949) 364-1520
Mailing address
26800 CROWN VALLEY PKWY STE 305, MISSION VIEJO, CA 92691-8017
(949) 364-6000
(949) 364-3213
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A73876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100620
—
CA
Enumeration date
06/21/2006
Last updated
11/09/2021
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