Provider Demographics
NPI:1174719058
Name:CARIGMA, CECILIA SANTIAGO (MD)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:SANTIAGO
Last Name:CARIGMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20826 ELY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1665
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18821 PIONEER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90701-5667
Practice Address - Country:US
Practice Address - Phone:562-403-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108171208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics