Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A87237 | CA |
NPI | 1275770471 |
---|---|
Provider Name | Dr. Mark Daniel Gaon |
First Address | Newport Beach, CA 92660-8729 |
Second Address | Newport Beach, CA 92663-3641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2009 |
Last Update Date | 21/08/2020 |