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NPI Code Detail

MEDICARE: LEOPOLDO AVILES ARENAS

MEDICARE: LEOPOLDO AVILES ARENAS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRT1424261225CA

General Provider Information

NPI Number : 1699623900
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEOPOLDO AVILES ARENAS
Provider Business Mailing Address
First Line : 1003 S BEACON ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-4324
Country : US
Telephone Number : 310-514-4940
Fax Number :
Provider Business Practice Location Address
First Line : 1003 S BEACON ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-4324
Country : US
Telephone Number : 310-514-4940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ LEOPOLDO AVILES ARENAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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