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NPI Code Detail

MEDICARE: CANLAS MEDICAL CORPORATION

MEDICARE: CANLAS MEDICAL CORPORATION
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1114147089
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANLAS MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 23517 MAIN ST
Second Line : SUITE 108
City : CARSON
State : CA
Zip : 90745-5251
Country : US
Telephone Number : 310-518-6246
Fax Number :
Provider Business Practice Location Address
First Line : 23517 MAIN ST
Second Line : SUITE 108
City : CARSON
State : CA
Zip : 90745-5251
Country : US
Telephone Number : 310-518-6246
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARIA CECILIA S CANLAS
Credential : MD
Telephone Number : 310-518-6246
Provider Enumeration Date : 04/26/2007
Last Update Date : 08/22/2020

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Directions to “CANLAS MEDICAL CORPORATION ” Practice Location

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