Individual
DANIEL L. BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 CEDAR ST., #26B, SANTA CRUZ, CA 95060
(831) 425-3415
Mailing address
309 CEDAR ST., #26B, SANTA CRUZ, CA 95060
(831) 425-3415
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G80506
CA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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