Organization
CARLOS SANTIVANEZ M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SANTIVANEZ MD (PRESIDENT)
(559) 582-9061
Entity
Organization
Contact information
Practice address
855 GARNER AVE, HANFORD, CA 93230
(559) 582-9061
(559) 582-9063
Mailing address
855 GARNER AVE, HANFORD, CA 93230
(559) 582-9061
(559) 582-9063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65721
CA
Other
Enumeration date
04/03/2007
Last updated
06/01/2011
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