Healthcare Provider Details

I. General information

NPI: 1750717435
Provider Name (Legal Business Name): ARACELI BEJAR LUA ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 GARCES HWY STE 1
DELANO CA
93215-3687
US

IV. Provider business mailing address

PO BOX 932
DELANO CA
93216-0932
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-4780
  • Fax: 661-725-1048
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW88712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: