Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT 7752 TPL | CA |
NPI | 1104884931 |
---|---|
Provider Name | Dr. Celeste Arroyo Paz |
First Address | Fremont, CA 94538-1509 |
Second Address | Fremont, CA 94538-1509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 12/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SD0077520 | (05) | CA |
T10592 | (02) | CA |