Provider Demographics
NPI:1154845295
Name:KABILING, MARION (BS, PTA, ATC)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:
Last Name:KABILING
Suffix:
Gender:F
Credentials:BS, PTA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23001 DEL LAGO DR STE C1
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1354
Mailing Address - Country:US
Mailing Address - Phone:949-387-7333
Mailing Address - Fax:
Practice Address - Street 1:30085 COMERCIO
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2106
Practice Address - Country:US
Practice Address - Phone:949-766-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48822225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant