Doctor Name: | DR. CARLOS ALBERTO CONTRERAS |
NPI Number: | 1528325412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 16111 Plummer St North Hills, CA - 913432036 |
Business Phone Number: | 8188959349 |
Business Fax Number: | |
Mailing Address: | 16111 Plummer St, Building 10 Education Office 11683 SEPULVEDA |
State: | CA |
Postal Code: | 913432036 |
Phone Number: | 8188917711 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |