Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G35437 | CA |
N | 208600000X | Surgeon | G35437 | CA |
N | 2082S0105X | Plastic Hand Surgeon | G35437 | CA |
NPI | 1982774915 |
---|---|
Provider Name | Michael C Ciano |
First Address | Thousand Oaks, CA 91360-8025 |
Second Address | Thousand Oaks, CA 91360-8025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A91685 | (02) | CA |