Organization
CASA CARDENAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CABALLERO MSW, LCSW (PRESIDENT)
(626) 337-6650
Entity
Organization
Contact information
Practice address
111 W BEVERLY BLVD, SUITE 209, MONTEBELLO, CA 90640-4312
(626) 337-6650
(626) 960-2870
Mailing address
P.O. BOX 41 1141, LOS ANGELES, CA 90041
(626) 337-6650
(626) 960-2870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/23/2008
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