Provider Demographics
NPI:1366018640
Name:ARQUILLANO, NHIKOLAI
Entity type:Individual
Prefix:
First Name:NHIKOLAI
Middle Name:
Last Name:ARQUILLANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 E GARVEY AVE N APT 38
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1474
Mailing Address - Country:US
Mailing Address - Phone:626-485-1487
Mailing Address - Fax:
Practice Address - Street 1:14132 STANISLAUS CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-3562
Practice Address - Country:US
Practice Address - Phone:909-641-7468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty