Carlos R Canizales Md Inc

LBN: Carlos R Canizales Md Inc
Carlos R Canizales Md Inc is an health care organization with primary practice located at 685 N 13Th Ave Suite 9, Upland CA 91786-4916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Carlos R Canizales Md Inc can be contacted via phone (909) 981-5923, or through Canizales, Carlos R via phone (909) 981-5923.

Contact Information

Primary practice address
685 N 13Th Ave Suite 9 Upland CA 91786-4916
Phone: (909) 981-5923
Fax: (909) 920-3054
Website:
Map and Directions
Authorized official contact:
Name: Canizales, Carlos R Doctor of Medicine (MD)
Phone: (909) 981-5923

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1790987568
LBN Legal business name Carlos R Canizales Md Inc
DBA Doing business as
Authorized official Canizales, Carlos R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Feb 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790987568 NPPES
California MEDICAID 00A212830

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