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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CASEY CACCAM

Active Sole Proprietor

CASEY CACCAM is a Substance Abuse Psychiatric Nurse healthcare provider located in PANORAMA CITY, California. NPI 1477197903 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · PANORAMA CITY, CA

Registration Details

NPI Number
1477197903
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2019 (6.8226357098558 yrs)
Last Updated
Oct 28, 2019
License
95163263 (CA)
Sole Proprietor
Yes

Practice Information

Address
14850 ROSCOE BLVD
PANORAMA CITY, CA, 914024618
Browse CA providers · Browse ZIP 91402
Phone
8189043122
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X

Other Substance Abuse Psychiatric Nurse Providers in PANORAMA CITY, CA

Name Credential NPI
CHRISTINA MICHELLE ANDERSON RN 1538710678
RON COLLADO MACADANGDANG 1710696182
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.