Provider Demographics
NPI:1639435449
Name:JOSEPH A CABARET MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JOSEPH A CABARET MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CABARET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-792-3914
Mailing Address - Street 1:601 E DAILY DR STE 228
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5840
Mailing Address - Country:US
Mailing Address - Phone:805-914-0637
Mailing Address - Fax:805-693-4327
Practice Address - Street 1:601 E DAILY DR
Practice Address - Street 2:SUITE #228
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5806
Practice Address - Country:US
Practice Address - Phone:805-914-0637
Practice Address - Fax:805-693-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207LA0401X, 208VP0014X
CAA51410208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty