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NPI Code Detail

MEDICARE: CARLOS SABADO JR.

MEDICARE:   CARLOS  SABADO JR.
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
1225200000XPhysical Therapy Assistant8183CA

General Provider Information

NPI Number : 1558751966
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS SABADO JR.
Provider Business Mailing Address
First Line : 13848 DARKWOOD WAY
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91739-5970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9440 CITRUS AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-5512
Country : US
Telephone Number : 909-823-3481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2015
Last Update Date : 01/23/2015

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Directions to “ CARLOS SABADO JR. ” Practice Location

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