| Doctor Name: | CAROLINE MATIBAG CASPE |
| NPI Number: | 1053754952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP-C |
| License Number: | 22778 |
| Business Practice Address: | 1300 S Sunset Ave West Covina, CA - 917903342 |
| Business Phone Number: | 6269606999 |
| Business Fax Number: | 6269605246 |
| Mailing Address: | 12375 Baseline Rd, Suite 104 RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 917395992 |
| Phone Number: | 9098996969 |
| Fax Number: | 9098999922 |
| NPI Enumeration Date: | 04/10/2013 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 22778 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |