Individual
DR. DANIEL E. ZELAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-8646
(858) 554-9562
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8646
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G85319
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G85319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G0853190
—
CA
Enumeration date
07/27/2006
Last updated
12/29/2020
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