Provider Demographics
NPI:1376593764
Name:CABRERA, LINDA V (RDCS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:V
Last Name:CABRERA
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8402 CAROB ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2061
Mailing Address - Country:US
Mailing Address - Phone:714-329-2171
Mailing Address - Fax:
Practice Address - Street 1:8402 CAROB ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2061
Practice Address - Country:US
Practice Address - Phone:714-329-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26083246XS1301X
CAAC 17290171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
No171100000XOther Service ProvidersAcupuncturist