Individual provider · NPI-1

Daae Cantu, PA

Physician Assistant · Westminster, CA

NPI number1841985447
StatusActive
Last updated in NPPESFeb 4, 2025

Details

NPI
1841985447
Entity type
Individual (NPI-1)
Name
Daae Cantu
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2023
Certification date
Feb 4, 2025
Last updated
Feb 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant63685CAYes
390200000X Student in an Organized Health Care Education/Training Program–CA

Practice location

15201 Bucknell Cir
Westminster, CA 92683-6213

Phone 714-307-2323

Mailing address

15201 Bucknell Cir
Westminster, CA 92683-6213

Phone 714-397-2323

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