Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A108448 | CA |
NPI | 1013149533 |
---|---|
Provider Name | Cristina Santos Candido-Vitto |
First Address | Solvang, CA 93463-3704 |
Second Address | Santa Barbara, CA 93105-6206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2009 |
Last Update Date | 29/10/2009 |