Healthcare Provider Details

I. General information

NPI: 1134298045
Provider Name (Legal Business Name): GABRIEL CARABULEA, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 EQUESTRIAN DR
NORTH TUSTIN CA
92705-2427
US

IV. Provider business mailing address

10721 EQUESTRIAN DR
NORTH TUSTIN CA
92705-2427
US

V. Phone/Fax

Practice location:
  • Phone: 714-466-0787
  • Fax: 714-417-9821
Mailing address:
  • Phone: 714-466-0787
  • Fax: 714-417-9821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA45960
License Number StateCA

VIII. Authorized Official

Name: DR. GABRIEL CARABULEA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-466-0787