Individual
CHRISTOPHER P DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 NUTMEG PL, SUITE 110, COSTA MESA, CA 92626-2501
(714) 751-8110
(714) 918-0322
Mailing address
1520 NUTMEG PL, SUITE 110, COSTA MESA, CA 92626-2501
(714) 751-8110
(714) 918-0322
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C51535
CA
Other
Enumeration date
10/23/2006
Last updated
11/20/2015
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