Individual provider · NPI-1

Ivan Carranza

Respiratory Therapist, Registered, General Care · San Diego, CA

NPI number1982184917
StatusActive
Last updated in NPPESAug 20, 2018

Details

NPI
1982184917
Entity type
Individual (NPI-1)
Name
Ivan Carranza
Sex
Male
Sole proprietor
No
Enumeration date
Aug 20, 2018
Last updated
Aug 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2279G1100X Respiratory Therapist, Registered, General Care34355CAYes

Practice location

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297

Phone 858-266-4200

Mailing address

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297

Phone 858-266-4200

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