Provider Demographics
NPI:1467596411
Name:CABRERA, ELSA CYNTHIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELSA
Middle Name:CYNTHIA
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 CERRITOS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2557
Mailing Address - Country:US
Mailing Address - Phone:714-826-8600
Mailing Address - Fax:
Practice Address - Street 1:4332 CERRITOS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2557
Practice Address - Country:US
Practice Address - Phone:714-826-8600
Practice Address - Fax:310-868-5378
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0562432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry