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Individual

GERARDO DAVALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(151) 065-5400
Mailing address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A209404
CA
208600000X
Surgery Physician
Primary
MDR-7714
CA
208600000X
Surgery Physician
Primary
MDR-7714
HI

Other

Enumeration date
04/24/2019
Last updated
08/14/2026
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