CARLOS GUSTAVO TERAN MIRANDA

MERCED, CA
NPI1649526765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A119549)
Additional Taxonomies208000000X Pediatrics
(Licence: OH  35. 099330)
Enumeration Date2012-07-26
Last Update Date2013-03-06
Business Address
-- CARLOS GUSTAVO TERAN MIRANDA M.D
847 W CHILDS AVE
MERCED, CA 95341-6862
Phone number: 209-383-7441
Mailing Address
-- CARLOS GUSTAVO TERAN MIRANDA M.D
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848