Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | G88362 | CA |
NPI | 1053302257 |
---|---|
Provider Name | Vincent J De Filippi |
First Address | Salinas, CA 93901-3928 |
Second Address | Salinas, CA 93901-3928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 08/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7001801 | (05) | NJ |
G28646 | (02) | NJ |