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NPI Code Detail

MEDICARE: DR. JACQUELYN MUNET CALDWELL OD

MEDICARE: DR. JACQUELYN MUNET CALDWELL OD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447051289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELYN MUNET CALDWELL OD
Provider Business Mailing Address
First Line : 1856 VIA ARROYO
Second Line :
City : LA VERNE
State : CA
Zip : 91750-1708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5460 E LA PALMA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-2023
Country : US
Telephone Number : 714-463-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 06/02/2026

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