Organization
RICARDO CARRAU, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO L CARRAU M.D. (PRESIDENT)
(412) 287-9701
Entity
Organization
Contact information
Practice address
2200 SANTA MONICA BLVD, 112, SANTA MONICA, CA 90404-2302
(310) 582-7312
(310) 582-7495
Mailing address
2200 SANTA MONICA BLVD, 112, SANTA MONICA, CA 90404-2302
(310) 582-7312
(310) 582-7495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G886523
CA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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