Provider Demographics
NPI:1972147940
Name:BEGAZO, CATHERINE MARGARY CUACO (DDS, MDS, PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE MARGARY
Middle Name:CUACO
Last Name:BEGAZO
Suffix:
Gender:F
Credentials:DDS, MDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S DOHENY DR APT 209
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2926
Mailing Address - Country:US
Mailing Address - Phone:916-385-4321
Mailing Address - Fax:
Practice Address - Street 1:100 S DOHENY DR APT 209
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-2926
Practice Address - Country:US
Practice Address - Phone:916-385-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-03
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1045211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA104521OtherJOB SEARCHING