| Name: | Caballero Kobzoff MD, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 28 Jan 2019 (6 years ago) |
| Entity Number: | 10098864 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3220 PROVIDENCE DRIVE, SUITE E3-080, ANCHORAGE, AK 99508 |
| Supporting healthcare providers fighting with COVID-19: | $1,119 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Andrea Caballero | Member |
| Carolyn Heyman | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2088268 | Business License | Active | 2019-06-04 | 2024-10-09 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 162603 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-06-09 | 2020-06-09 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
