Individual
DIEGO R. CAVENAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2128
Mailing address
18666 CLUBHOUSE DR, YORBA LINDA, CA 92886-7057
(951) 823-2413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780962175
—
CA
Enumeration date
08/02/2011
Last updated
02/20/2014
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