Organization
CACERES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA GAIL ANG (ADMINISTRATOR)
(714) 821-8588
Entity
Organization
Contact information
Practice address
8585 KNOTT AVE STE 101, BUENA PARK, CA 90620-3896
(714) 821-8588
(714) 821-4482
Mailing address
8585 KNOTT AVE STE 101, BUENA PARK, CA 90620-3896
(714) 821-8588
(714) 821-4482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479010
—
CA
Enumeration date
01/06/2026
Last updated
01/06/2026
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