MEDICARE: DR. JAMES AARON CABALLERO D.C.

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
1	111N00000X	Chiropractor	27726	CA

General Provider Information

NPI Number	:	1093991549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES AARON CABALLERO D.C.

Provider Business Mailing Address
First Line	:	680 CAMINO DE LA REINA APT 2406
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3279
Country	:	US
Telephone Number	:	858-922-2527
Fax Number	:	619-283-5772

Provider Business Practice Location Address
First Line	:	3902 EL CAJON BLVD STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1023
Country	:	US
Telephone Number	:	619-283-6615
Fax Number	:	619-283-5772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	01/15/2008

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