Healthcare Provider Details

I. General information

NPI: 1659482149
Provider Name (Legal Business Name): DARIA BEATRIZ MALDONADO-KNAPP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9781 BLUE LARKSPUR LN SUITE 100
MONTEREY CA
93940-6509
US

IV. Provider business mailing address

1750 EL CAMINO REAL 206
BURLINGAME CA
94010-3214
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-9008
  • Fax: 831-333-9010
Mailing address:
  • Phone: 650-692-0182
  • Fax: 650-692-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG75444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: