MEDICARE: DR. ORLANDO GABRIEL CABRERA M.D.

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	207Q00000X	Family Medicine Physician	65344	GA

General Provider Information

NPI Number	:	1700047578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO GABRIEL CABRERA M.D.

Provider Business Mailing Address
First Line	:	1 DISPENSARY RD
Second Line	:
City	:	NAS POINT MUGU
State	:	CA
Zip	:	93042
Country	:	US
Telephone Number	:	805-989-7213
Fax Number	:	805-989-8448

Provider Business Practice Location Address
First Line	:	1 DISPENSARY RD
Second Line	:
City	:	NAS POINT MUGU
State	:	CA
Zip	:	93042
Country	:	US
Telephone Number	:	805-989-7213
Fax Number	:	805-989-8448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	12/10/2020

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