Healthcare Provider Details

I. General information

NPI: 1215890827
Provider Name (Legal Business Name): CAVALRY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 COAST VILLAGE RD STE L
MONTECITO CA
93108-2720
US

IV. Provider business mailing address

1250 COAST VILLAGE RD STE L
MONTECITO CA
93108-2720
US

V. Phone/Fax

Practice location:
  • Phone: 617-686-5614
  • Fax:
Mailing address:
  • Phone: 617-686-5614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OREL SWENSON
Title or Position: CEO
Credential: MD
Phone: 607-743-4973