Healthcare Provider Details

I. General information

NPI: 1144528837
Provider Name (Legal Business Name): ARLENE OLIVIA VIGIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2011
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 GELLERT BLVD SUITE 150
DALY CITY CA
94015-2621
US

IV. Provider business mailing address

333 GELLERT BLVD SUITE 150
DALY CITY CA
94015-2621
US

V. Phone/Fax

Practice location:
  • Phone: 650-758-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number1869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: