MEDICARE: PABLO C LIMBO 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	207Q00000X	Family Medicine Physician	A38249	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	:	1790957124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PABLO C LIMBO MD INC

Provider Business Mailing Address
First Line	:	19036 COLIMA RD
Second Line	:	STE B
City	:	ROWLAND HTS
State	:	CA
Zip	:	91748
Country	:	US
Telephone Number	:	626-965-7272
Fax Number	:	626-965-9479

Provider Business Practice Location Address
First Line	:	19036 COLIMA RD
Second Line	:	STE B
City	:	ROWLAND HTS
State	:	CA
Zip	:	91748
Country	:	US
Telephone Number	:	626-965-7272
Fax Number	:	626-965-9479

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	PABLO CARANDANG LIMBO JR.
Credential	:	MD
Telephone Number	:	626-965-7272

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	07/14/2010

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