Provider Demographics
NPI:1083628333
Name:U.S. HEALTHWORKS
Entity Type:Organization
Organization Name:U.S. HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CABICO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-425-8212
Mailing Address - Street 1:2330 GREENBRIAR DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1154
Mailing Address - Country:US
Mailing Address - Phone:619-656-0375
Mailing Address - Fax:
Practice Address - Street 1:2330 GREENBRIAR DR UNIT A
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-1154
Practice Address - Country:US
Practice Address - Phone:619-656-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67369261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF-43048Medicare UPIN