Provider Demographics
NPI:1740407949
Name:ARBULU, DAVID (LMFT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ARBULU
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S CLAREMONT ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1452
Mailing Address - Country:US
Mailing Address - Phone:650-579-0361
Mailing Address - Fax:650-342-6727
Practice Address - Street 1:700 S CLAREMONT ST
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1452
Practice Address - Country:US
Practice Address - Phone:650-579-0361
Practice Address - Fax:650-342-6727
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist