Individual
CARLO CHAINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 265-4894
Mailing address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 265-4894
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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