Healthcare Provider Details

I. General information

NPI: 1164347571
Provider Name (Legal Business Name): EMER CABANCE CANTERAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 WALNUT ST
BELLFLOWER CA
90706-5644
US

IV. Provider business mailing address

9320 WALNUT ST
BELLFLOWER CA
90706-5644
US

V. Phone/Fax

Practice location:
  • Phone: 562-388-5756
  • Fax:
Mailing address:
  • Phone: 562-388-5756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number713361
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: