Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G57575 | CA |
NPI | 1003886029 |
---|---|
Provider Name | Dr. Roy J Caputo |
First Address | Murrieta, CA 92564-1007 |
Second Address | Downey, CA 90240-4014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 31/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E88033 | (02) | CA |