Healthcare Provider Details

I. General information

NPI: 1790153732
Provider Name (Legal Business Name): ARAKEL FIRST ASSIST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 N VERDUGO RD APT 5
GLENDALE CA
91208-2327
US

IV. Provider business mailing address

2525 N VERDUGO RD APT 5
GLENDALE CA
91208-2327
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • Fax: 214-764-0880
Mailing address:
  • Phone: 214-227-2457
  • Fax: 214-764-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARINEH ARAKEL
Title or Position: OWNER
Credential: FNP
Phone: 818-298-4538