Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A37647 | CA |
Y | 208600000X | Surgeon | A37647 | CA |
NPI | 1013028315 |
---|---|
Provider Name | Dr. Edgardo Santos Barcelona |
First Address | Lancaster, CA 93539-7007 |
Second Address | Lancaster, CA 93534-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 04/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A376470 | (05) | CA |
A28427 | (02) | CA |