Individual
DR. EPIFANIA GO CASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 E 7TH ST, 116A, LONG BEACH, CA 90822-5201
(562) 826-5603
(562) 826-5580
Mailing address
2819 TIMBERLYN TRAIL RD, FULLERTON, CA 92833-5533
(562) 826-5603
(562) 826-5580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A047745
CA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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