Provider Demographics
NPI:1770661340
Name:CABARLO, JEHRIB M (DO)
Entity type:Individual
Prefix:
First Name:JEHRIB
Middle Name:M
Last Name:CABARLO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 FIFTH AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3198
Mailing Address - Country:US
Mailing Address - Phone:858-355-9887
Mailing Address - Fax:
Practice Address - Street 1:3900 FIFTH AVE STE 140
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3198
Practice Address - Country:US
Practice Address - Phone:858-355-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8516208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
020A85160Medicare ID - Type Unspecified