| Doctor Name: | MR. CESAR CARRENO |
| NPI Number: | 1477765212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PPS |
| License Number: | |
| Business Practice Address: | 1250 North 8th Avenue San Luis, AZ - 85349 |
| Business Phone Number: | 9285026168 |
| Business Fax Number: | |
| Mailing Address: | 1141 E 2nd St, CALEXICO |
| State: | CA |
| Postal Code: | 922313044 |
| Phone Number: | 7603576629 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |