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NPI Code Detail

MEDICARE: DHAN PAOLO ANCHETA MALABRIGO

MEDICARE:   DHAN PAOLO ANCHETA MALABRIGO
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
1175T00000XPeer SpecialistTUL-MOACA
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1831914449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHAN PAOLO ANCHETA MALABRIGO
Provider Business Mailing Address
First Line : 1465 30TH ST STE K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-3497
Country : US
Telephone Number : 619-428-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1465 30TH ST STE K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-3497
Country : US
Telephone Number : 619-428-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2024
Last Update Date : 03/10/2026

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Directions to “ DHAN PAOLO ANCHETA MALABRIGO ” Practice Location

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