Organization
RAYMUND J. LLAURADO, MD, INC.
Active
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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