Search › California › 207V00000X
Liautaud Prophete, D.O
NPI 1134219264 · on the registry since 2006
Practice
- Address
- 502 Washington Ave
Los Banos, CA 93635 - Phone
- (209) 826-4771
- Fax
- (209) 826-8565
- Organisation at this address
- Prophete Medical Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 600 W I St, Los Banos, CA
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California