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NPI Code Detail

MEDICARE: FABIAN DANIEL TREBIZO II CADC II

MEDICARE: FABIAN DANIEL TREBIZO II CADC II
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
1101YA0400XAddiction (Substance Use Disorder) CounselorA057240620CA

General Provider Information

NPI Number : 1770011678
Entity Type Code : Individual
Provider Name (Legal Business Name) : FABIAN DANIEL TREBIZO II CADC II
Provider Business Mailing Address
First Line : 407 HELEN WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-6112
Country : US
Telephone Number : 661-325-4357
Fax Number :
Provider Business Practice Location Address
First Line : 407 HELEN WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-6112
Country : US
Telephone Number : 661-325-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2017
Last Update Date : 10/22/2025

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