Basic Information
| Provider Information | |||||||||
| NPI: | 1013149533 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CANDIDO-VITTO | ||||||||
| FirstName: | CRISTINA | ||||||||
| MiddleName: | SANTOS | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | CANDIDO | ||||||||
| OtherFirstName: | CRISTINA | ||||||||
| OtherMiddleName: | SANTOS | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 425 ALISAL RD | ||||||||
| Address2: | UNIT 2 | ||||||||
| City: | SOLVANG | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934633704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6463303788 | ||||||||
| FaxNumber: | 7028378825 | ||||||||
| Practice Location | |||||||||
| Address1: | 427 W PUEBLO ST | ||||||||
| Address2: | SUITE C | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931056206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055697850 | ||||||||
| FaxNumber: | 8056821618 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2009 | ||||||||
| LastUpdateDate: | 10/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | A108448 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
No ID Information.