ANDREW MARCOS IMPERIAL ALTIVEROS

SACRAMENTO, CA
NPI1326354838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  C174205)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  036-127235)
Enumeration Date2010-08-20
Last Update Date2024-11-12
Business Address
Dr. ANDREW MARCOS IMPERIAL ALTIVEROS MD
1625 STOCKTON BLVD STE 106
SACRAMENTO, CA 95816-7098
Phone number: 916-262-9002
Mailing Address
Dr. ANDREW MARCOS IMPERIAL ALTIVEROS MD
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: