Healthcare Provider Details

I. General information

NPI: 1417040825
Provider Name (Legal Business Name): ANGELI ARREGLADO BAUTISTA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELI ARREGLADO ACIERTO NP

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16323 CLARK AVE
BELLFLOWER CA
90706-5209
US

IV. Provider business mailing address

2151 S MONTEREY AVE
ONTARIO CA
91761-5426
US

V. Phone/Fax

Practice location:
  • Phone: 562-422-3256
  • Fax:
Mailing address:
  • Phone: 909-986-7929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: