Healthcare Provider Details

I. General information

NPI: 1497440119
Provider Name (Legal Business Name): MARIA DE JESUS CABRALES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 TEMPLE AVE STE B
SIGNAL HILL CA
90755-2212
US

IV. Provider business mailing address

207 E SEASIDE WAY APT 410
LONG BEACH CA
90802-6253
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-7500
  • Fax:
Mailing address:
  • Phone: 562-500-8310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024272
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number95210559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: