Individual
DR. CARLOS F INOCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S ALTA AVE, DINUBA, CA 93618-2100
(559) 315-2588
(866) 493-3746
Mailing address
501 S ALTA AVE, DINUBA, CA 93618-2100
(559) 315-2588
(866) 493-3746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9971
NV
208D00000X
General Practice Physician
Primary
G45595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018695
—
NV
Enumeration date
05/05/2006
Last updated
09/16/2024
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