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NPI Code Detail

MEDICARE: DR. ELIZABETH CARANDANG LAQUI MD

MEDICARE:  DR. ELIZABETH CARANDANG LAQUI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA39839CA

General Provider Information

NPI Number : 1437121415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH CARANDANG LAQUI MD
Provider Business Mailing Address
First Line : 498 W 4TH ST
Second Line :
City : PERRIS
State : CA
Zip : 92570-2070
Country : US
Telephone Number : 951-943-8899
Fax Number :
Provider Business Practice Location Address
First Line : 498 W 4TH ST
Second Line :
City : PERRIS
State : CA
Zip : 92570-2070
Country : US
Telephone Number : 951-943-8899
Fax Number : 951-943-4598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 03/19/2013

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Directions to “ DR. ELIZABETH CARANDANG LAQUI MD” Practice Location

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