Canizales, Carlos R
Canizales, Carlos R is an individual health care provider with primary practice located at 685 N 13Th Ave #9, Upland CA 91786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Canizales, Carlos R can be contacted via phone (909) 981-5923.Contact Information
Primary practice address
685 N 13Th Ave #9
Upland CA 91786
Phone: (909) 981-5923
Fax: (909) 920-3054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A21283 | California |
Profile Details
| NPI number | 1285690909 |
|---|---|
| LBN Legal business name | Canizales, Carlos R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690909 | NPPES |
| California | MEDICAID | 00A212830 |
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