Doctor Name: | DR. DAVID DENG |
NPI Number: | 1013046663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | EL1662 |
Business Practice Address: | 4 Anchor Dr F433 Emeryville, CA - 946081557 |
Business Phone Number: | 5109850164 |
Business Fax Number: | |
Mailing Address: | 4 Anchor Dr, F433 EMERYVILLE |
State: | CA |
Postal Code: | 946081557 |
Phone Number: | 5109850164 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | EL1662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |