| George Caballero, Lcsw Inc | |
|
516 W Whittier Blvd Suite C Montebello CA 90640-5234 | |
| (323) 255-9421 | |
| (323) 344-9084 |
| Full Name | George Caballero, Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 516 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | George Caballero (PRESIDENT) |
| Authorized Official Contact | 3232559421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Caballero, Lcsw Inc P.o. Box 411141 Los Angeles CA 90041 Ph: (323) 255-9421 | George Caballero, Lcsw Inc 516 W Whittier Blvd Suite C Montebello CA 90640-5234 Ph: (323) 255-9421 |
| NPI Number | 1578639415 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214461961 |
|---|---|
| Medicare Enrollment ID | O20241118000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578639415 | NPI | - | NPPES |
| LCS 11522 | Other | CA | LICENSED SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS11522 (California) | Primary |
| Provider Name | George Caballero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053413351 PECOS PAC ID: 5799854220 Enrollment ID: I20080522000718 |
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