Individual
KRISTOPHER KEVIN CABALLERO BALUYOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N BRAND BLVD STE 208, GLENDALE, CA 91203-2627
(818) 945-6003
Mailing address
130 N BRAND BLVD STE 208, GLENDALE, CA 91203-2627
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
26505
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
02/20/2024
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