Basic Information
Provider Information
NPI: 1366752107
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUELDO
FirstName: CAROLINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 729 N MEDICAL CENTER DR W STE 205
Address2:  
City: CLOVIS
State: CA
PostalCode: 936116885
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 729 N MEDICAL CENTER DR W STE 205
Address2:  
City: CLOVIS
State: CA
PostalCode: 936116885
CountryCode: US
TelephoneNumber: 5592997700
FaxNumber: 5592979679
Other Information
ProviderEnumerationDate: 10/14/2010
LastUpdateDate: 02/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XME123211FLN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X051012CTN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VE0102XA113893CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

No ID Information.


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