Healthcare Provider Details

I. General information

NPI: 1306766720
Provider Name (Legal Business Name): ONELO C LORBERTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29995 TECHNOLOGY DR
MURRIETA CA
92563-2632
US

IV. Provider business mailing address

29710 WINDWOOD CIR
TEMECULA CA
92591-1852
US

V. Phone/Fax

Practice location:
  • Phone: 951-904-0884
  • Fax: 951-297-2521
Mailing address:
  • Phone: 858-519-6228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: