Individual
MICHAEL CABAHUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 N MOORPARK RD, THOUSAND OAKS, CA 91360-2603
(805) 837-1821
Mailing address
861 FEDORA ST APT 307, LOS ANGELES, CA 90005-2120
(973) 866-8883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
40QB00350600
NJ
225200000X
Physical Therapy Assistant
Primary
50992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50992
PTBC
CA
Enumeration date
11/21/2019
Last updated
04/07/2021
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