Individual
MR. JOSE ANGEL CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8585 KNOTT AVE, #101, BUENA PARK, CA 90620
(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
207RI0011X
Interventional Cardiology Physician
Primary
A47901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479010
—
CA
01
—
330622058
STATE
CA
Enumeration date
03/31/2006
Last updated
12/15/2025
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