MEDICARE: DR. DAVID MANUEL SABIO 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	2084P0800X	Psychiatry Physician	RTL21-1150	NC
2	2084P0800X	Psychiatry Physician	A196729	CA
3	390200000X	Student in an Organized Health Care Education/Training Program	RTL	NC

General Provider Information

NPI Number	:	1548840614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MANUEL SABIO MD

Provider Business Mailing Address
First Line	:	760 WESTWOOD PLZ STE B7-357
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5055
Country	:	US
Telephone Number	:	310-206-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 WESTWOOD PLZ STE B7-357
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5055
Country	:	US
Telephone Number	:	310-206-6721
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	05/04/2026

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