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JOHN TITO CABALLERO ACSW

>> Rehabilitation Practitioner >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1962922740

Individual Registrant:
 JOHN TITO CABALLERO ACSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
18623 GALE AVE  CITY OF INDUSTRY, CA 91748 US
Tel: 626-389-0300  Fax: --

Contact information for business:
18623 GALE AVE  CITY OF INDUSTRY, CA 91748-1342 US
Tel: 626-389-0300  Fax: --

Registration Information:
NPI: 1962922740
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner
CA
N390200000XStudent
Organized Health Care Education/Training Program
CA
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CA84609

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1962922740CA05




HEALTH CARE JOBS CA - Page 1



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