Provider Demographics
NPI:1396363594
Name:CABALUNA MEDICAL PLLC
Entity Type:Organization
Organization Name:CABALUNA MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL HERBERT
Authorized Official - Middle Name:SEGOVIA
Authorized Official - Last Name:CABALUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-385-9691
Mailing Address - Street 1:2001 EXCELLENCE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-8410
Mailing Address - Country:US
Mailing Address - Phone:928-460-7260
Mailing Address - Fax:928-227-0255
Practice Address - Street 1:2001 EXCELLENCE WAY STE 200
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-8410
Practice Address - Country:US
Practice Address - Phone:928-460-7260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty