Individual
DR. CARLOS UNTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 SANTA ROSA STREET, SUITE 201, SAN LUIS OBISPO, CA 93405
(805) 782-8132
(805) 597-8350
Mailing address
PO BOX 4659, SAN LUIS OBISPO, CA 93403-4659
(805) 782-8132
(805) 597-8350
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A90379
CA
208VP0014X
Interventional Pain Medicine Physician
A90379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009350
PHYSICIAN INDEX #
CA
Enumeration date
12/15/2005
Last updated
02/13/2024
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