Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | A115211 | CA |
Y | 2086S0129X | Vascular Surgeon | MD60870970 | WA |
NPI | 1164684734 |
---|---|
Provider Name | Carlos Eduardo Pineda |
First Address | Sunnyvale, CA 94085-3418 |
Second Address | Seattle, WA 98122-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 09/08/2018 |