Provider Demographics
NPI:1033941083
Name:CABRILLAS, ARDEN EMILIO (CMT, ANMT)
Entity type:Individual
Prefix:MR
First Name:ARDEN
Middle Name:EMILIO
Last Name:CABRILLAS
Suffix:
Gender:M
Credentials:CMT, ANMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 VALJEAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-1340
Mailing Address - Country:US
Mailing Address - Phone:818-807-6233
Mailing Address - Fax:
Practice Address - Street 1:10100 VALJEAN AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-1340
Practice Address - Country:US
Practice Address - Phone:818-807-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76441225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist