Provider Demographics
NPI:1790810117
Name:FRANKLIN G CABEBE M D INC
Entity Type:Organization
Organization Name:FRANKLIN G CABEBE M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CABEBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-914-3871
Mailing Address - Street 1:118 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3364
Mailing Address - Country:US
Mailing Address - Phone:626-914-3871
Mailing Address - Fax:
Practice Address - Street 1:118 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3364
Practice Address - Country:US
Practice Address - Phone:626-914-3871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29760207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA29760OtherPRES. MCAL STATE LICENSE#
CA00A297600Medicaid
CAA29760OtherPRES. MCAL STATE LICENSE#
CAA29760Medicare ID - Type UnspecifiedPRES. MCARE PROVIDER ID#