Provider Demographics
NPI:1457657850
Name:DAVLANTES, CESAR A (PHARMD, CCP)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:A
Last Name:DAVLANTES
Suffix:
Gender:M
Credentials:PHARMD, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CARTIER CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2712
Mailing Address - Country:US
Mailing Address - Phone:760-770-9425
Mailing Address - Fax:
Practice Address - Street 1:7 CARTIER CT
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2712
Practice Address - Country:US
Practice Address - Phone:760-770-9425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist