Individual
DANIEL TREVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 JEFFERSON BLVD STE B180, W SACRAMENTO, CA 95605-2394
(916) 403-2900
(530) 204-5248
Mailing address
500 JEFFERSON BLVD STE B180, W SACRAMENTO, CA 95605-2394
(916) 403-2900
(530) 204-5248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A163932
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/20/2018
Last updated
04/21/2025
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