Healthcare Provider Details

I. General information

NPI: 1427065994
Provider Name (Legal Business Name): CRISTIAN NEAGU D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/13/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 W TENNYSON RD NO3
HAYWARD CA
94544-4454
US

IV. Provider business mailing address

1191 W TENNYSON RD # 3
HAYWARD CA
94544-4454
US

V. Phone/Fax

Practice location:
  • Phone: 559-783-1181
  • Fax: 559-783-2084
Mailing address:
  • Phone: 510-732-1566
  • Fax: 510-732-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE 4218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: