MEDICARE: CAVALRY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1215890827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAVALRY HEALTH

Provider Business Mailing Address
First Line	:	1250 COAST VILLAGE RD STE L
Second Line	:
City	:	MONTECITO
State	:	CA
Zip	:	93108-2720
Country	:	US
Telephone Number	:	617-686-5614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 COAST VILLAGE RD STE L
Second Line	:
City	:	MONTECITO
State	:	CA
Zip	:	93108-2720
Country	:	US
Telephone Number	:	617-686-5614
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. OREL SWENSON
Credential	:	MD
Telephone Number	:	607-743-4973

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “CAVALRY HEALTH ” Practice Location

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