Individual
DR. DENEEN CHERRY DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 CASA ST STE 101, SAN LUIS OBISPO, CA 93405-5804
(661) 695-8385
(805) 439-2765
Mailing address
8329 BRIMHALL RD, SUITE 801, BAKERSFIELD, CA 93312-2243
(661) 695-8385
(805) 439-2765
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A98771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB206701
MEDICARE GROUP PTAN
CA
01
—
CB251372
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
09/29/2006
Last updated
09/27/2018
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