Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | C52247 | CA |
NPI | 1003820358 |
---|---|
Provider Name | Dr. Juancho Francisco Catibayan Remulla |
First Address | Apple Valley, CA 92307-1377 |
Second Address | Apple Valley, CA 92307-1377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 10/02/2022 |