Individual
CLARISSE ELAINE CADANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4520 BUSINESS CENTER DR STE 200, FAIRFIELD, CA 94534-6888
(707) 646-3500
(707) 646-3501
Mailing address
4520 BUSINESS CENTER DR STE 200, FAIRFIELD, CA 94534-6888
(707) 646-3500
(707) 646-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A145810
CA
207R00000X
Internal Medicine Physician
D0083367
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2014
Last updated
04/10/2020
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