Healthcare Provider Details

I. General information

NPI: 1073632741
Provider Name (Legal Business Name): M. LINDA ARBOLEDA O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10088 ADAMS AVE
HUNTINGTON BEACH CA
92646-4905
US

IV. Provider business mailing address

10088 ADAMS AVE
HUNTINGTON BEACH CA
92646-4905
US

V. Phone/Fax

Practice location:
  • Phone: 714-962-9377
  • Fax: 714-593-1237
Mailing address:
  • Phone: 714-962-9377
  • Fax: 714-593-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number8657T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: