Provider Demographics
NPI:1427776152
Name:CAPUTO, CRISTOFORO PAOLO
Entity type:Individual
Prefix:
First Name:CRISTOFORO
Middle Name:PAOLO
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 JORDAN AVE # B106
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1223
Mailing Address - Country:US
Mailing Address - Phone:818-620-5189
Mailing Address - Fax:
Practice Address - Street 1:22035 BURBANK BLVD APT 139
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4711
Practice Address - Country:US
Practice Address - Phone:818-620-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care