Provider Demographics
NPI:1992782833
Name:CARAMBAS, CLARITA R (MD)
Entity type:Individual
Prefix:
First Name:CLARITA
Middle Name:R
Last Name:CARAMBAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9955 CARMEL MOUNTAIN RD
Mailing Address - Street 2:1
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2815
Mailing Address - Country:US
Mailing Address - Phone:858-484-0339
Mailing Address - Fax:858-538-7034
Practice Address - Street 1:9955 CARMEL MOUNTAIN RD
Practice Address - Street 2:1
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2815
Practice Address - Country:US
Practice Address - Phone:858-484-0339
Practice Address - Fax:858-538-7034
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2008-10-06
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Provider Licenses
StateLicense IDTaxonomies
CAA37285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A372850Medicaid
E51152Medicare UPIN
CA00A372850Medicaid