Capodanno, Carmen C

Capodanno, Carmen C is an individual health care provider with primary practice located at 1360 W 6Th St Ste 270, San Pedro CA 90732-3539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Capodanno, Carmen C can be contacted via phone (310) 831-1272.

Contact Information

Primary practice address
1360 W 6Th St Ste 270 San Pedro CA 90732-3539
Phone: (310) 831-1272
Fax: (310) 831-1273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 636220 California

Profile Details

NPI number 1821092859
LBN Legal business name Capodanno, Carmen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821092859 NPPES
California MEDICAID 00G362200

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