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Licensing details for: A 182825

Name: CACDAC, ROBERT MATTHEW

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: St. George's University School of Medicine

Graduation Year: 2020

Previous Names: Cacdac, Robert

Address of Record

227 W Janss Rd Ste 340
THOUSAND OAKS CA 91360-1879
VENTURA county
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Issuance Date

October 18, 2022

Expiration Date

December 31, 2026

Current Date / Time

April 1, 2026
7:12:32 PM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: CACDAC, ROBERT MATTHEW

License/Registration Type: Postgraduate Training License

License Number: 3204 Primary Status: License Canceled

Address :
46315 Ocotillo Dr Apt B
PALM DESERT CA 92260-5300
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Fellow
Postgraduate Training Years
4
Primary Area of Practice
Cardiology
Secondary Area of Practice
Internal Medicine
ABMS Certifications
American Board of Internal Medicine - Internal Medicine
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Zip - 91360
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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