Healthcare Provider Details

I. General information

NPI: 1619449956
Provider Name (Legal Business Name): ARVEN BALUNO ARGUELLES RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2018
Last Update Date: 12/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E COMPTON BLVD
COMPTON CA
90221-3303
US

IV. Provider business mailing address

3043 GOLDEN AVE
LONG BEACH CA
90806-1305
US

V. Phone/Fax

Practice location:
  • Phone: 310-668-6800
  • Fax:
Mailing address:
  • Phone: 562-242-6376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number852481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: