Search › California › 136A00000X
Derrick Cabico
NPI 1558943597 · on the registry since 2021 · sole proprietor
Practice
- Address
- 30394 Lamplighter Ln
Menifee, CA 92584 - Phone
- (951) 500-2104
Registry record
- Primary taxonomy
- 136A00000X
136A00000X
- Also registered as
- 136A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California