Individual
CARLOS SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPSS
Contact information
Practice address
3351 AMHURST DR, RIVERSIDE, CA 92503-5103
(951) 783-8313
Mailing address
3351 AMHURST DR, RIVERSIDE, CA 92503-5103
(951) 783-8313
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ZCILBY
CA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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