Individual
AMIR DASTGAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16275 MONTEREY RD STE E, MORGAN HILL, CA 95037-5466
(408) 234-6969
Mailing address
16275 MONTEREY RD STE E, MORGAN HILL, CA 95037-5466
(408) 612-4752
(408) 612-8171
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4988
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2009
Last updated
01/19/2020
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