Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | A123778 | CA |
NPI | 1124385158 |
---|---|
Provider Name | Dr. Allan Lagdamen Capote |
First Address | Bakersfield, CA 93306-7879 |
Second Address | Bakersfield, CA 93312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 07/08/2018 |