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EDWIN CABAHUG

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1972055952

Individual Registrant:
 EDWIN  CABAHUG 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1305 BEAR MOUNTAIN BLVD  ARVIN, CA 93203-1231 US
Tel: 661-854-3131  Fax: --

Contact information for business:
1305 BEAR MOUNTAIN BLVD  ARVIN, CA 93203-1231 US
Tel: 661-854-3131  Fax: --

Registration Information:
NPI: 1972055952
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
CA95004995
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95004995

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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