| Sally Daganzo, Md Inc | |
|
1050 Northgate Dr Ste 500 San Rafael CA 94903-2542 | |
| (415) 249-2580 | |
| (415) 728-0375 |
| Full Name | Sally Daganzo, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 Northgate Dr Ste 500, San Rafael, California |
| Authorized Official Name and Position | Sally Daganzo (CEO) |
| Authorized Official Contact | 4152492580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Daganzo, Md Inc 1050 Northgate Dr Ste 500 San Rafael CA 94903-2542 Ph: (415) 249-2580 | Sally Daganzo, Md Inc 1050 Northgate Dr Ste 500 San Rafael CA 94903-2542 Ph: (415) 249-2580 |
| NPI Number | 1114774098 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114774098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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