Provider Demographics
NPI:1043444094
Name:CABA MOLINA, DAVID (MD, MS, MPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:CABA MOLINA
Suffix:
Gender:M
Credentials:MD, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA DE LA ESTRELLA 11
Mailing Address - Street 2:PASEO DE LAS PALMAS
Mailing Address - City:MEXICO
Mailing Address - State:HUIXQUILUCAN
Mailing Address - Zip Code:52787
Mailing Address - Country:MX
Mailing Address - Phone:555-290-9717
Mailing Address - Fax:
Practice Address - Street 1:11175 CAMPUS ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-0001
Practice Address - Country:US
Practice Address - Phone:909-558-5939
Practice Address - Fax:909-558-0236
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036135232282N00000X
390200000X
CAA1668252086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No282N00000XHospitalsGeneral Acute Care Hospital
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program