Provider Demographics
NPI:1013149533
Name:CANDIDO-VITTO, CRISTINA SANTOS (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:SANTOS
Last Name:CANDIDO-VITTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:SANTOS
Other - Last Name:CANDIDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:425 ALISAL RD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-3704
Mailing Address - Country:US
Mailing Address - Phone:646-330-3788
Mailing Address - Fax:702-837-8825
Practice Address - Street 1:427 W PUEBLO ST
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6206
Practice Address - Country:US
Practice Address - Phone:805-569-7850
Practice Address - Fax:805-682-1618
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1084482080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology