Individual
DR. BRIAN ANTHONY DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
892 AEROVISTA PL STE 240, SAN LUIS OBISPO, CA 93401-8054
(805) 541-8252
(805) 543-8252
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A98389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB239193
MEDICARE ID
CA
Enumeration date
03/19/2007
Last updated
09/23/2019
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