Healthcare Provider Details
I. General information
NPI: 1255445037
Provider Name (Legal Business Name): SONIA ELVIRA PINZON-ARELLANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2438 N PONDEROSA DR STE C209
CAMARILLO CA
93010-2374
US
IV. Provider business mailing address
1600 RAMONA DRIVE
NEWBURY PARK CA
91320
US
V. Phone/Fax
- Phone: 805-482-0721
- Fax: 805-389-0725
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A63249 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | A63249 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: