Provider Demographics
NPI:1942377445
Name:CABALINAN, JANETTE SEGOVIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:SEGOVIA
Last Name:CABALINAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 MISSION ST STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3385
Mailing Address - Country:US
Mailing Address - Phone:626-405-9090
Mailing Address - Fax:626-405-9080
Practice Address - Street 1:820 MISSION ST STE A
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3385
Practice Address - Country:US
Practice Address - Phone:626-405-9090
Practice Address - Fax:626-405-9080
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49849122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1821274333Medicaid