Doctor Name: | DR. LUIS JOSEPH NAVAZO |
NPI Number: | 1043359219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | CLM322377 |
Business Practice Address: | 1582 W San Marcos Blvd Ste 100 San Marcos, CA - 920784081 |
Business Phone Number: | 7605919975 |
Business Fax Number: | |
Mailing Address: | 1582 W San Marcos Blvd Ste 100, SAN MARCOS |
State: | CA |
Postal Code: | 920784081 |
Phone Number: | 7605919975 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | CLM322377 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |