Most Relevant Information
Provider Data
| NPI Number: | 1003556515 |
| Provider Name: | DANNY LINGGONEGORO |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 293781 |
Most Important Dates
| Enumeration Date: | 03/31/2022 |
| Last Updated: | 04/12/2024 |
Provider Practice Location
450 BROADWAY ST FL C2
REDWOOD CITY
CA
940633132
Practice Location Phone/Fax
| Phone: | 6507217190 |
| Fax: |
Provider Mailing Location
450 BROADWAY ST FL C2
REDWOOD CITY
CA
940633132
Provider Mailing Phone/Fax
| Phone: | 6507217190 |
| Fax: |
Suggested EMR
Pediatrics EMR