Individual
COREY AKONI CABULAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-3011
Mailing address
46010 CLUBHOUSE DR, TEMECULA, CA 92592-6042
(760) 500-9476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018506
CA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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