Organization Name: | MONICA P CEPIN, MD A MEDICAL CORPORATION |
NPI Number: | 1285876615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONICA P CEPIN (OWNER) |
Mailing Address: | 480 4th Suite 507 Chula Vista |
State: | CA US |
Postal Code: | 919102650 |
Phone Number: | 6194270665 |
Fax Number: | 6194273366 |
NPI Enumeration Date: | 03/31/2009 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A56350 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |