Individual
CAROLINE PETELO DIMARUCOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41715 WINCHESTER RD, SUITE 201-B, TEMECULA, CA 92590-4808
(951) 296-2960
(951) 296-2962
Mailing address
1140 WEST LA PALMA AVE., SUITE #6, ANAHEIM, CA 92801
(714) 502-1144
(714) 502-1146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A86401
CA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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