Provider Demographics
NPI:1720866460
Name:CACERES GARAY, CINTHYA GABRIELA
Entity type:Individual
Prefix:
First Name:CINTHYA
Middle Name:GABRIELA
Last Name:CACERES GARAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 CANDLEWOOD ST STE 11A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1930
Mailing Address - Country:US
Mailing Address - Phone:562-296-7092
Mailing Address - Fax:
Practice Address - Street 1:5150 CANDLEWOOD ST STE 11A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1930
Practice Address - Country:US
Practice Address - Phone:562-296-7092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)