Individual
DR. MARILEE CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8504 FIRESTONE BLVD # 242, DOWNEY, CA 90241-4926
(760) 537-5139
Mailing address
8504 FIRESTONE BLVD # 242, DOWNEY, CA 90241-4926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18346-875
WI
208600000X
Surgery Physician
Primary
A138584
CA
208600000X
Surgery Physician
MD450361
PA
208600000X
Surgery Physician
MT195491
PA
Other
Enumeration date
07/06/2009
Last updated
08/27/2019
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