Organization
VERA D. CECILIO, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERA D. CECILIO M.D. (OWNER)
(818) 609-7200
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 322, TARZANA, CA 91356-6119
(818) 609-7200
(818) 343-8869
Mailing address
5525 ETIWANDA AVE, SUITE 322, TARZANA, CA 91356-6119
(818) 609-7200
(818) 343-8869
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A26195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A26195
MEDICARE PTAN
CA
Enumeration date
08/26/2010
Last updated
07/25/2012
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