NPI 1003556515

Danny Linggonegoro

Practitioner Dermatology Physician Redwood City, CA

Practice location

Address: 450 Broadway St Fl C2, Redwood City, CA 94063-3132
Phone: (650) 721-7190

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A191221 (CA)

Other Dermatology providers in California →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 293781 (MA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003556515
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2022
Record last updated: 12 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.