Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | EL1662 | CA |
NPI | 1013046663 |
---|---|
Provider Name | Dr. David Deng |
First Address | Emeryville, CA 94608-1557 |
Second Address | Emeryville, CA 94608-1557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 13/12/2021 |