Provider Demographics
NPI:1336110683
Name:CARVALHO, CLAUDIO M (DO)
Entity Type:Individual
Prefix:MR
First Name:CLAUDIO
Middle Name:M
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:230 E 17TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-3824
Mailing Address - Country:US
Mailing Address - Phone:949-999-0782
Mailing Address - Fax:949-999-0784
Practice Address - Street 1:230 E 17TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3824
Practice Address - Country:US
Practice Address - Phone:949-999-0782
Practice Address - Fax:949-999-0784
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A81912081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20A8191BMedicare PIN