Aaron Cabrera, ATC

Individual provider Active NPI Athletic Trainer · Lathrop, CA

NPI 1053905794 · NPPES record last updated Feb 23, 2021

Key facts

NPI
1053905794
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
200022377 (CA)
Practice address
15883 Cambridge Dr
Lathrop, CA 95330-9565
Phone
(209) 814-2366
NPI assigned
Feb 23, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
200022377CAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 200022377 CA Yes

Addresses

Primary practice location

15883 Cambridge Dr
Lathrop, CA 95330-9565

Mailing address

15883 Cambridge Dr
Lathrop, CA 95330-9565
Phone (209) 814-2366

Other providers in Lathrop, CA

All providers in Lathrop, CA · Athletic Trainer in California

Sources for this page

Verify at the official NPI Registry.