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NPI Code Detail

MEDICARE: DR. CANAAN ARCENEAUX DO

MEDICARE: DR. CANAAN ARCENEAUX DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS020831PA
2207Q00000XFamily Medicine Physician333562NY

General Provider Information

NPI Number : 1184152100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANAAN ARCENEAUX DO
Provider Business Mailing Address
First Line : 6043 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : CA
Zip : 90028-5411
Country : US
Telephone Number : 323-653-1990
Fax Number :
Provider Business Practice Location Address
First Line : 195 MONTAGUE ST FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-3628
Country : US
Telephone Number : 718-422-8000
Fax Number : 718-422-8265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2017
Last Update Date : 02/18/2026

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Directions to “ DR. CANAAN ARCENEAUX DO” Practice Location

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