Provider Demographics
NPI:1316089113
Name:ESTEVES, CARLO SISON (DO)
Entity type:Individual
Prefix:DR
First Name:CARLO
Middle Name:SISON
Last Name:ESTEVES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:685 QUINCE LN
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7105
Mailing Address - Country:US
Mailing Address - Phone:415-265-2037
Mailing Address - Fax:415-447-0688
Practice Address - Street 1:685 QUINCE LN
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7105
Practice Address - Country:US
Practice Address - Phone:415-265-2037
Practice Address - Fax:415-447-0688
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A83702081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine