Cristobal, Carmelita Feliciano

Cristobal, Carmelita Feliciano is an individual health care provider with primary practice located at 1820 41St Ave Suite D, Capitola CA 95010-2516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cristobal, Carmelita Feliciano can be contacted via phone (831) 476-3000.

Contact Information

Primary practice address
1820 41St Ave Suite D Capitola CA 95010-2516
Fax: (831) 476-9009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33358 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C53347 California

Profile Details

NPI number 1942283072
LBN Legal business name Cristobal, Carmelita Feliciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 13th, 2011 - about 14 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 1942283072 NPPES
California MEDICAID 1942283072
California MEDICAID 370002482

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