Christian Caballero
Community Health Worker in Van Nuys, CA. Individual provider (NPI-1).
NPI number1639916638
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1639916638
- Entity type
- Individual (NPI-1)
- Name
- Christian Caballero
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2024
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
5805 Sepulveda Blvd Ste 710Van Nuys, CA 91411-2522
Phone 213-408-6231
Mailing address
5805 Sepulveda Blvd Ste 710Van Nuys, CA 91411-2522
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