Individual
MR. ADRIAN CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2569 SANTA ANA AVE, #4, COSTA MESA, CA 92627-5400
(949) 310-4733
(949) 548-8667
Mailing address
2569 SANTA ANA AVE, #4, COSTA MESA, CA 92627-5400
(949) 310-4733
(949) 548-8667
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
613514
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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