Organization
SANTA MARIA NEONATOLOGY INC A PROFESSIONAL CORPORATION
Active
Other names
Santa Maria Neonatology Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD C ALDERETE M.D. (PRESIDENT)
(805) 547-1255
Entity
Organization
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 547-1255
(805) 547-1395
Mailing address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 547-1255
(805) 547-1395
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
CA
208M00000X
Hospitalist Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3121959
STATE OF CA CORPORATION NUMBER
CA
01
—
38932
MEDICAL BOARD FICTITIOUS NAME PERMIT
CA
Enumeration date
11/24/2009
Last updated
11/24/2009
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