MEDICARE: HECTOR ALBERTO CABALLERO MD

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	207R00000X	Internal Medicine Physician	A25186	CA
2	207RG0100X	Gastroenterology Physician	A25186	CA

General Provider Information

NPI Number	:	1174515662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR ALBERTO CABALLERO MD

Provider Business Mailing Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 118
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4031
Country	:	US
Telephone Number	:	805-495-0823
Fax Number	:	818-889-7602

Provider Business Practice Location Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 118
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4031
Country	:	US
Telephone Number	:	805-495-0823
Fax Number	:	818-889-7602

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/11/2025

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