Provider Demographics
NPI:1326092891
Name:KAESLER, CECILIA TSANG (DO)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:TSANG
Last Name:KAESLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1113 FOOTHILL BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3207
Mailing Address - Country:US
Mailing Address - Phone:818-790-0357
Mailing Address - Fax:818-952-5375
Practice Address - Street 1:1113 FOOTHILL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3207
Practice Address - Country:US
Practice Address - Phone:818-790-0357
Practice Address - Fax:818-952-5375
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6257207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine