Individual
DIANE GARIBALDI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 TULLY RD, CHABOYA CLINIC- PEDIATRICS DEPARTMENT, SAN JOSE, CA 95111-1917
(408) 817-1426
Mailing address
219 PURPLE GLEN DR, SAN JOSE, CA 95119-1533
(408) 972-9255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G50536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G505360
—
CA
Enumeration date
04/10/2006
Last updated
07/08/2007
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