Individual
CARL A CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 N 10TH ST, SANTA PAULA, CA 93060-1309
(805) 647-0880
Mailing address
PO BOX 660640, ARCADIA, CA 91066-0640
(626) 447-0297
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G68370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G68370
MEDICAL LICENSE
CA
Enumeration date
08/19/2006
Last updated
04/22/2013
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