A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1487140349 |
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| LBN Legal business name | CALIXTO J CORNAVACA DIAZ MD LLC | ||||||||||||||||
| Authorized official | SPRING CORNAVACA - (BUSINESS ADMINISTRATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 07/03/2018 | ||||||||||||||||
| Last updated | 07/03/2018 - About 8 years ago | ||||||||||||||||
| Identifiers |
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