Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | AFE23655 | CA |
NPI | 1326346966 |
---|---|
Provider Name | Dr. Ceferino Salcedo Quizon |
First Address | Port Hueneme, CA 93041-3032 |
Second Address | Port Hueneme, CA 93041-3032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2011 |
Last Update Date | 07/03/2011 |