| Organization Name: | DENEEN C DICARLO MD INC A PROF CORP |
| NPI Number: | 1104072917 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENEEN C DICARLO (RHEUMATOLOGIST) |
| Mailing Address: | 901 Oak Park Blvd Suite 101 Pismo Beach |
| State: | CA US |
| Postal Code: | 934493408 |
| Phone Number: | 8054898039 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | A98771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |