Provider Demographics
NPI:1568630705
Name:CABAN, PAULINA (ND)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:
Last Name:CABAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1988 SACRED MTN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-4251
Mailing Address - Country:US
Mailing Address - Phone:510-229-2078
Mailing Address - Fax:
Practice Address - Street 1:1988 SACRED MTN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-4251
Practice Address - Country:US
Practice Address - Phone:510-229-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-239175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath