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Daniela Stangenhaus De Carvalho

Otolaryngology

Allopathic & Osteopathic Physicians

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

PECOS Enrollment

This provider is enrolled in PECOS as DANIELA CARVALHO.

Based on the most recent information from CMS, provider Daniela Stangenhaus De Carvalho is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1154492916
Provider Type
Individual
Full Name
Carvalho, Daniela Stangenhaus De
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
10/10/2011

Contact Information

Practice Location

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

(858) 309-7701

Unlisted Fax

Mailing Location

3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800

(858) 309-6303

(858) 309-6301

Provider Taxonomies

Code	Description	License
Code 207YP0228X Primary	Description Otolaryngology Allopathic & Osteopathic Physicians	License A94239 California
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License A94239 California

Provider Identifiers

ID	Description	Issuer
ID 00A942390	Description Medicaid	Issuer Unlisted California

Daniela Stangenhaus De Carvalho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Magit, Anthony Edmund

Yang, Jeremy D

Kearns, Donald Bokenfohr

Bliss, Morgan Renee

Frank, Ethan D.

Patel, Vijay A.

Pransky, Seth Marc

Qian, Zhen Jason

Bothwell, Marcella R.

Children'S Specialists Of San Diego - Div Of Ent