Individual
STEPHEN CABALATUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S CENTRAL AVE STE 207, GLENDALE, CA 91204-4388
(818) 649-1433
Mailing address
426 E 212TH ST, CARSON, CA 90745-1522
(310) 308-6019
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
PA56597
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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