Individual
DR. VIRGILIO CELESTE ERESO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1917 MEMORIAL DR, SUITE A-1, CERES, CA 95307-1861
(209) 538-1985
(209) 538-6836
Mailing address
1917 MEMORIAL DR, SUITE A-1, CERES, CA 95307-1861
(209) 538-1985
(209) 538-6836
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00A303080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A303080
—
CA
Enumeration date
05/19/2006
Last updated
07/08/2007
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