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NPI Code Detail

MEDICARE: HEALINGMD INC

MEDICARE: HEALINGMD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1043790777
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALINGMD INC
Provider Business Mailing Address
First Line : PO BOX 3129
Second Line :
City : TORRANCE
State : CA
Zip : 90510-3129
Country : US
Telephone Number : 310-792-3914
Fax Number : 855-898-4055
Provider Business Practice Location Address
First Line : 601 E DAILY DR STE 228
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-5840
Country : US
Telephone Number : 805-914-0637
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH CABARET
Credential : MD
Telephone Number : 310-792-3914
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “HEALINGMD INC ” Practice Location

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