Organization
VICTOR G. CARABELLO, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR G. CARABELLO MD (PRESIDENT)
(323) 526-2880
Entity
Organization
Contact information
Practice address
1700 E. CESAR CHAVEZ AVENUE, L200, LOS ANGELES, CA 90033-2467
(323) 526-2880
(323) 526-3885
Mailing address
1700 E. CESAR CHAVEZ AVENUE, L-200, LOS ANGELES, CA 90033-2467
(323) 526-2880
(323) 526-3885
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G74827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086300
—
CA
01
—
W14738
MEDICARE GROUP PTAN
CA
Enumeration date
10/01/2006
Last updated
09/15/2014
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