Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A-94424 | CA |
N | 208600000X | Surgeon | A-94424 | CA |
Y | 2082S0105X | Plastic Hand Surgeon | A-94424 | CA |
NPI | 1407986888 |
---|---|
Provider Name | Dr. Daron Geldwert |
First Address | San Diego, CA 92103-1911 |
Second Address | San Diego, CA 92103-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 29/11/2021 |