Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20A12874 | CA |
N | 111NI0900X | Internist | 20A12874 | CA |
N | 207RC0200X | Critical Care Medicine | 20A12874 | CA |
NPI | 1003046004 |
---|---|
Provider Name | Dr. Amanda Marie Caparso |
First Address | Escondido, CA 92029-4159 |
Second Address | Escondido, CA 92029-4159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2009 |
Last Update Date | 13/09/2017 |