Organization
CARMEN CAPODANN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN CAPODANNO MD (OWNER)
(310) 831-1272
Entity
Organization
Contact information
Practice address
1360 W 6TH ST STE 270, SAN PEDRO, CA 90732-3539
(310) 831-1272
(310) 831-1273
Mailing address
1360 W 6TH ST STE 270, SAN PEDRO, CA 90732-3539
(310) 831-1272
(310) 831-1273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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