Healthcare Provider Details

I. General information

NPI: 1003697129
Provider Name (Legal Business Name): ARLENE DIAZ AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 N 5TH AVE STE 201
ARCADIA CA
91006-3711
US

IV. Provider business mailing address

51 N 5TH AVE STE 201
ARCADIA CA
91006-3711
US

V. Phone/Fax

Practice location:
  • Phone: 626-321-9944
  • Fax: 626-380-9262
Mailing address:
  • Phone: 626-321-9944
  • Fax: 626-380-9262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: