Individual
CHARITO P. SICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 HICKEY BLVD, DALY CITY, CA 94015-2770
(650) 742-2050
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A48424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A484240
—
CA
Enumeration date
11/01/2006
Last updated
04/01/2013
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