Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 230035 | MA |
N | 111NI0900X | Internist | 230035 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | A115614 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | M7415 | TX |
N | 207RI0011X | Interventional Cardiology | A115614 | CA |
NPI | 1083629786 |
---|---|
Provider Name | Dr. Alden Joseph Mcdonald III |
First Address | Walnut Creek, CA 94598-1609 |
Second Address | Oakland, CA 94609-3114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 22/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083629786 | NPI (01) |