Individual
DR. DANIEL JOSEPH PIACQUADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9025 BALBOA AVE, SUITE 105, SAN DIEGO, CA 92123-1520
(858) 571-6800
(858) 571-6801
Mailing address
9025 BALBOA AVE, SUITE 105, SAN DIEGO, CA 92123-1523
(858) 571-6800
(858) 571-6801
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G057303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G057303
MEDICAL LICENSE
CA
01
—
W15119
GROUP MEDICARE NUMBER
—
Enumeration date
03/03/2006
Last updated
03/07/2023
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