Provider Demographics
NPI:1083810410
Name:VILCHIS, CAROLINE JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:JANE
Last Name:VILCHIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:JANE
Other - Last Name:COLANGELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3609 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:760-637-2500
Mailing Address - Fax:760-637-2501
Practice Address - Street 1:3609 VISTA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-637-2500
Practice Address - Fax:760-637-2501
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104518208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology