Individual
MARISSA CABALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
(909) 651-5510
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A143888
CA
Other
Enumeration date
04/29/2015
Last updated
10/27/2023
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