Individual
CALEB PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12235 BEACH BLVD, SUITE 107, STANTON, CA 90680-3939
(714) 891-2601
(714) 798-2266
Mailing address
12235 BEACH BLVD, SUITE 107, STANTON, CA 90680-3939
(714) 891-2601
(714) 798-2266
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
2069
CA
Other
Enumeration date
12/22/2013
Last updated
12/22/2013
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