Individual
DR. OCTAVIO CARDONA-LOYA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.
Contact information
Practice address
750 MEDICAL CENTER CT STE 4, CHULA VISTA, CA 91911-6634
(619) 421-8360
(619) 421-7632
Mailing address
750 MEDICAL CENTER CT STE 4, CHULA VISTA, CA 91911-6634
(619) 421-8360
(619) 421-7632
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
831244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A312440
—
CA
01
—
831244
LICENSE
CA
Enumeration date
07/24/2006
Last updated
07/08/2007
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