MEDICARE: GABRIEL G. CARABELLO, MD 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
1	2086S0129X	Vascular Surgery Physician	G52810	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275626541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIEL G. CARABELLO, MD INC

Provider Business Mailing Address
First Line	:	1700 E. CESAR CHAVEZ AVENUE
Second Line	:	STE. 2450
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2434
Country	:	US
Telephone Number	:	213-483-4559
Fax Number	:	213-413-0819

Provider Business Practice Location Address
First Line	:	1700 E. CESAR CHAVEZ AVENUE
Second Line	:	STE. 2450
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2434
Country	:	US
Telephone Number	:	213-483-4559
Fax Number	:	213-413-0819

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GABRIEL G. CARABELLO
Credential	:	MD
Telephone Number	:	213-483-4559

Provider Enumeration Date	:	10/01/2006
Last Update Date	:	07/11/2011

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