Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Travis H. Calvin, Jr. | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Travis | [sources] | |||
Last name | Calvin, Jr. | [sources] | |||
Middle name | H. | [sources] | |||
NPI | 1437217049 | [sources] | |||
Registration number | 00C214620 · C 21462 · CGP157134 | [sources] | |||
Sector | Physician | [sources] | |||
Address | 1505 Ross Avenue El Centro, CA 92243 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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