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Organization
THEODORE GERARD A CASPE MD A MEDICAL CORPORATION
Active
Organization
THEODORE GERARD A CASPE MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE GERARD AGUILAR CASPE MD (PRESIDENT)
(909) 899-6969
Entity
Organization
Contact information
Practice address
12375 BASELINE RD, SUITE 104, RANCHO CUCAMONGA, CA 91739
(909) 899-6969
(909) 899-9922
Mailing address
12375 BASE LINE RD STE 104, RANCHO CUCAMONGA, CA 91739-5993
(909) 899-6969
(909) 899-9922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942349113
INDIVIDUAL NPI
CA
Enumeration date
05/02/2007
Last updated
09/01/2026
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