Matthew Caceres

NPI 1063071785 · on the registry since 2019 · sole proprietor

Practice

Address: 1207 E Fruit St
Santa Ana, CA 92701
Phone: (888) 686-3100
Organisation at this address: Phoenix House Orange County, Inc
Phoenix House Orange County, Inc.
Phoenix House Orange County, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 248

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California