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Individual

DR. DANIEL FORKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1420 WILLOW PASS RD, SUITE 200, CONCORD, CA 94520-5823
(925) 646-5480
Mailing address
1420 WILLOW PASS RD, SUITE 200, CONCORD, CA 94520-5823
(925) 646-5480

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G-20349
CA

Other

Enumeration date
10/08/2008
Last updated
09/04/2012
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