Provider Demographics
NPI:1699828335
Name:SFATCU, TEODOR (CCP)
Entity Type:Individual
Prefix:
First Name:TEODOR
Middle Name:
Last Name:SFATCU
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E HIGHLAND AVE
Mailing Address - Street 2:SUITE 251
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3803
Mailing Address - Country:US
Mailing Address - Phone:909-881-1614
Mailing Address - Fax:909-881-2711
Practice Address - Street 1:401 E HIGHLAND AVE
Practice Address - Street 2:SUITE 251
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3803
Practice Address - Country:US
Practice Address - Phone:909-881-1614
Practice Address - Fax:909-881-2711
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular