Healthcare Provider Details

I. General information

NPI: 1174920508
Provider Name (Legal Business Name): VIRGINIA ARVIZU LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S HARBOR BLVD STE 250
ANAHEIM CA
92805-5177
US

IV. Provider business mailing address

800 S HARBOR BLVD STE 250
ANAHEIM CA
92805-5177
US

V. Phone/Fax

Practice location:
  • Phone: 714-458-8893
  • Fax:
Mailing address:
  • Phone: 714-305-2809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number124047
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109038
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: