DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. HERBERT CEBOLLERO PT

MEDICARE: MR. HERBERT CEBOLLERO PT
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
1167G00000XLicensed Psychiatric TechnicianPT19401CA

General Provider Information

NPI Number : 1962584862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HERBERT CEBOLLERO PT
Provider Business Mailing Address
First Line : 1328 2ND ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90401-1122
Country : US
Telephone Number : 310-394-6889
Fax Number :
Provider Business Practice Location Address
First Line : 1328 2ND ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90401-1122
Country : US
Telephone Number : 310-394-6889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 03/07/2023

Similar Medicare Providers

1619023850 — KATHLEEN KEOGH
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-394-6889
Practice Fax:
1689701724 — MISS ERIN ELIZABETH STANFORD MA
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-394-6889
Practice Fax:
1831228626 — STEP UP ON SECOND STREET, INC.
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-394-6889
Practice Fax: 310-394-6883
1427181700 — CHRISTOPHER AARON CRISWELL M.A.
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-394-6889
Practice Fax:
1962536698 — MR. MARC O. VAN ASSELT
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-394-6889
Practice Fax:
1063537348 — MR. DAVID MARK TAVLIN M.A.
Practice Location Address:
1328 2ND ST
SANTA MONICA, CA
90401-1122
Practice Phone: 310-576-1308
Practice Fax:

Directions to “ MR. HERBERT CEBOLLERO PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.