Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A137196 | CA |
Y | 2080P0201X | Pediatric Allergist | A137196 | CA |
NPI | 1285079426 |
---|---|
Provider Name | Mr. Daniel Albert Cerrone |
First Address | Sacramento, CA 95817-2208 |
Second Address | Sacramento, CA 95817-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 29/07/2021 |