Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5136 | CA |
Y | 222Z00000X | Podiatrist | 5136 | CA |
N | 213EP1101X | Primary Podiatric Medicine | 5136 | CA |
N | 2081S0010X | Sports Medicine | 5136 | CA |
N | 213ES0000X | Sports Medicine | 5136 | CA |
N | 213ES0103X | Foot & Ankle Surgery | 5136 | CA |
NPI | 1629377841 |
---|---|
Provider Name | Dana Yvonne Cozzetto |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Carmichael, CA 95608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 19/06/2018 |