Healthcare Provider Details

I. General information

NPI: 1679160147
Provider Name (Legal Business Name): MICHAEL ABRAHAM CABEBE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 DELBON AVE
TURLOCK CA
95382-2016
US

IV. Provider business mailing address

825 DELBON AVE
TURLOCK CA
95382-2016
US

V. Phone/Fax

Practice location:
  • Phone: 209-664-2816
  • Fax: 866-311-3696
Mailing address:
  • Phone: 209-664-2816
  • Fax: 866-311-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A24969
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: