Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | G51479 | CA |
NPI | 1033119946 |
---|---|
Provider Name | Dr. Anthony Capparelli |
First Address | Moorpark, CA 93020-2160 |
Second Address | Thousand Oaks, CA 91361-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 28/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F12743 | (02) | CA |