Provider Demographics
NPI:1538679402
Name:CABRERA, MONA SABHA (RD)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:SABHA
Last Name:CABRERA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27022 CARRANZA DR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-5004
Mailing Address - Country:US
Mailing Address - Phone:714-310-5035
Mailing Address - Fax:
Practice Address - Street 1:27022 CARRANZA DR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5004
Practice Address - Country:US
Practice Address - Phone:714-310-5035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA860084133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered