Individual
MR. JOHNNY DIONISIO CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(949) 297-3888
Mailing address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(949) 297-3888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21696
CA
Other
Enumeration date
07/20/2011
Last updated
02/03/2023
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