Provider Demographics
NPI:1831202647
Name:DENES, ZOLTAN DANIEL (MD)
Entity type:Individual
Prefix:
First Name:ZOLTAN
Middle Name:DANIEL
Last Name:DENES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 EL DORADO ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2914
Mailing Address - Country:US
Mailing Address - Phone:831-372-0442
Mailing Address - Fax:831-372-0433
Practice Address - Street 1:243 EL DORADO ST STE 100
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2914
Practice Address - Country:US
Practice Address - Phone:831-372-0442
Practice Address - Fax:831-372-0433
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48534174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A485340OtherBLUE SHIELD
CAA48534OtherSTATE LICENCE NUMBER
CA1643039Medicaid
CAA48534OtherSTATE LICENCE NUMBER