Individual
DR. TIMOTHY WAYNE CASAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 BALBOA BLVD, SUITE 202 PEDIATRIC CARDIOLOGY MED ASSOC OF SO CAL, ENCINO, CA 91316-1502
(818) 784-6269
(818) 784-1531
Mailing address
5400 BALBOA BLVD, SUITE 202 PEDIATRIC CARDIOLOGY MED ASSOC OF SO CAL, ENCINO, CA 91316-1502
(818) 784-6269
(818) 784-1531
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A73301
CA
Other
Enumeration date
12/29/2005
Last updated
11/30/2011
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