Individual
BYRON F CARCELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Mailing address
631 S SHELTON ST, #D, BURBANK, CA 91506-3156
(818) 434-8554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G79516
CA
207Q00000X
Family Medicine Physician
G79516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G795160
—
CA
Enumeration date
05/26/2006
Last updated
12/24/2009
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