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Individual

CESAR A ESTELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9960 CAPE VERDE DR, ELK GROVE, CA 95757
(702) 274-2120
Mailing address
9960 CAPE VERDE DR, ELK GROVE, CA 95757-6379
(702) 274-2120

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
9610
NV
208100000X
Physical Medicine & Rehabilitation Physician
9610
NV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C141462
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
9610
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018625
NV
Enumeration date
07/06/2006
Last updated
09/04/2018
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