Healthcare Provider Details

I. General information

NPI: 1578765236
Provider Name (Legal Business Name): VASUDHA NEELABH ARORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 IMPERIAL HWY KAISER FOUNDATION HOSPITAL
DOWNEY CA
90242-2812
US

IV. Provider business mailing address

13256 DESTINO PL
CERRITOS CA
90703-8645
US

V. Phone/Fax

Practice location:
  • Phone: 562-657-3000
  • Fax:
Mailing address:
  • Phone: 650-714-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125051701
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA104919
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: