Healthcare Provider Details

I. General information

NPI: 1821708611
Provider Name (Legal Business Name): ISABELLA FRANCIS CAVELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9805 CAMPO RD STE 165 P.O. BOX 65
SPRING VALLEY CA
91977-1471
US

IV. Provider business mailing address

9805 CAMPO RD STE 165
SPRING VALLEY CA
91977-1471
US

V. Phone/Fax

Practice location:
  • Phone: 619-889-8728
  • Fax:
Mailing address:
  • Phone: 619-889-8728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: