Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A107947 | CA |
NPI | 1003128364 |
---|---|
Provider Name | Daniel Mantuani |
First Address | Oakland, CA 94606-2351 |
Second Address | Oakland, CA 94606-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 25/01/2022 |