Individual
DR. DARYL DEAN SANDOVAL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2299 BACON ST STE 2, CONCORD, CA 94520-2045
(925) 676-2942
(925) 676-7108
Mailing address
2299 BACON ST STE 2, CONCORD, CA 94520-2045
(925) 676-2942
(925) 676-7108
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A111891
CA
207RP1001X
Pulmonary Disease Physician
A111891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XDP237A63245
BLUE CROSS PPO
CA
Enumeration date
06/09/2009
Last updated
12/08/2015
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