Organization
RAYMUND J. LLAURADO, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMUND J. LLAURADO MD (PRESIDENT)
(805) 922-6641
Entity
Organization
Contact information
Practice address
220 S PALISADE DR, SUITE 102, SANTA MARIA, CA 93454-8902
(805) 922-6641
(805) 922-5927
Mailing address
880 OAK PARK BLVD, SUITE 102, ARROYO GRANDE, CA 93420-1821
(805) 489-3235
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
C2511936
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
C2511936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2511936
STATE LICENSE
CA
Enumeration date
02/07/2008
Last updated
05/11/2009
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