Caballero, John Tito

Caballero, John Tito is an individual health care provider with primary practice located at 18623 Gale Ave , City Of Industry CA 91748. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Caballero, John Tito can be contacted via phone (626) 389-0300.

Contact Information

Primary practice address
18623 Gale Ave City Of Industry CA 91748
Phone: (626) 389-0300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 84609 California

Profile Details

NPI number 1962922740
LBN Legal business name Caballero, John Tito
Credentials ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Aug 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962922740 NPPES
California MEDICAID 1962922740

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