Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A166825 | CA |
NPI | 1043444094 |
---|---|
Provider Name | Dr. David Caba Molina |
First Address | Mexico, HUIXQUILUCAN 52787 |
Second Address | Loma Linda, CA 92350-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 15/03/2021 |