Provider Demographics
NPI:1548203060
Name:FOLMAR, CECIL (MD)
Entity Type:Individual
Prefix:
First Name:CECIL
Middle Name:
Last Name:FOLMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HOSPITAL CIR
Mailing Address - Street 2:#A
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3995
Mailing Address - Country:US
Mailing Address - Phone:714-894-4745
Mailing Address - Fax:714-891-7429
Practice Address - Street 1:230 HOSPITAL CIR
Practice Address - Street 2:#A
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3995
Practice Address - Country:US
Practice Address - Phone:714-894-4745
Practice Address - Fax:714-891-7429
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA20308207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA22109Medicare UPIN
CAWA20308AMedicare ID - Type Unspecified