Individual
CARLOS MIGUEL CASIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 831-3989
Mailing address
1601 ORANGE AVE APT 201, REDLANDS, CA 92373-4368
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A162498
CA
Other
Enumeration date
04/03/2017
Last updated
12/01/2023
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