Individual
JUAN C CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(319) 471-5877
Mailing address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(319) 471-5877
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A137119
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2012
Last updated
06/19/2024
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