Provider Demographics
NPI:1679943104
Name:LACBAY, KATHERINE ARPILLEDA
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ARPILLEDA
Last Name:LACBAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 MCNAB AVE
Mailing Address - Street 2:APT 2412
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3374
Mailing Address - Country:US
Mailing Address - Phone:562-618-1283
Mailing Address - Fax:
Practice Address - Street 1:1016 S RECORD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-2533
Practice Address - Country:US
Practice Address - Phone:323-268-0106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-26
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3314224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant