Individual
MR. ENRIQUE P. CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DME
Contact information
Practice address
9980 GLENOAKS BLVD STE A, SUN VALLEY, CA 91352-1072
(818) 394-9071
(818) 302-2317
Mailing address
9980 GLENOAKS BLVD STE A, SUN VALLEY, CA 91352-1072
(818) 394-9071
(818) 302-2317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7393210
DURABLE MEDICAL EQUIPMENT
—
Enumeration date
02/22/2019
Last updated
02/22/2019
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