MEDICARE: ARWIN PLETE

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
1	172V00000X	Community Health Worker	AT 8168	CA

General Provider Information

NPI Number	:	1982060331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARWIN PLETE

Provider Business Mailing Address
First Line	:	12015 CARL ST
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-6447
Country	:	US
Telephone Number	:	818-934-6689
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 VERDUGO BLVD
Second Line	:
City	:	MONTROSE
State	:	CA
Zip	:	91020-1628
Country	:	US
Telephone Number	:	818-249-3925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	01/14/2016

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Directions to “ ARWIN PLETE ” Practice Location

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