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NPI Code Detail

MEDICARE: CESAR CACERES CRNA

MEDICARE:   CESAR  CACERES  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician754541NY
2367500000XCertified Registered Nurse Anesthetist95000541CA

General Provider Information

NPI Number : 1144774878
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR CACERES CRNA
Provider Business Mailing Address
First Line : 1228 N SIERRA BONITA AVE
Second Line :
City : PASADENA
State : CA
Zip : 91104-3147
Country : US
Telephone Number : 818-481-4404
Fax Number :
Provider Business Practice Location Address
First Line : 1228 N SIERRA BONITA AVE
Second Line :
City : PASADENA
State : CA
Zip : 91104-3147
Country : US
Telephone Number : 818-481-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2016
Last Update Date : 07/17/2023

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Directions to “ CESAR CACERES CRNA” Practice Location

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