Healthcare Provider Details

I. General information

NPI: 1396503314
Provider Name (Legal Business Name): MARIBEL ARAMBULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIBEL LOPEZ PLASCENCIA

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 E FLORIDA AVE
HEMET CA
92543-4512
US

IV. Provider business mailing address

1105 E FLORIDA AVE
HEMET CA
92543-4512
US

V. Phone/Fax

Practice location:
  • Phone: 951-439-2939
  • Fax:
Mailing address:
  • Phone: 951-439-2939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number16518
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: