Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benito Mangrobang Caliboso Jr., IDMT

Individual provider Independent Duty Medical Technicians · NPI 1902120736

Benito Mangrobang Caliboso Jr., IDMT is an Independent Duty Medical Technicians in Vallejo, California. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

330 San Marino Ave
Vallejo, CA 94589-2656
Phone: (707) 557-6210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1902120736
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMarch 23, 2010
Last updated in NPPESApril 19, 2011