Individual
DR. CARMELITA FELICIANO CRISTOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1820 41ST AVE, SUITE D, CAPITOLA, CA 95010-2516
(831) 476-3000
(831) 476-9009
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-5701
(916) 859-1671
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33358
MN
208000000X
Pediatrics Physician
Primary
C53347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942283072
—
CA
05
—
370002482
—
MN
Enumeration date
11/22/2005
Last updated
01/13/2011
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