Individual
CARLA MARIA PEREDO ALCID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(502) 541-2637
(949) 748-6664
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(502) 541-2637
(949) 748-6664
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
A52709
CA
208000000X
Pediatrics Physician
202409
LA
208000000X
Pediatrics Physician
33113
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
202409
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
33113
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200179840
—
IN
05
—
64333115
—
KY
Enumeration date
12/07/2005
Last updated
12/05/2013
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