Individual
ELPIDIO CAINAG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6330 RUGBY AVE, HUNTINGTON PARK, CA 90255-4066
(562) 844-3567
Mailing address
14044 BORA DR, LA MIRADA, CA 90638-3512
(562) 844-3567
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95148361
CA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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