Individual
KEVIN LEE CABALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
14116 BURBANK BLVD UNIT 303, SHERMAN OAKS, CA 91401-4970
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33713
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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