Healthcare Provider Details

I. General information

NPI: 1841129822
Provider Name (Legal Business Name): ARLENE CERDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 W AVENUE J STE 119
LANCASTER CA
93534-2704
US

IV. Provider business mailing address

3542 SUNFLOWER CT
ROSAMOND CA
93560-7684
US

V. Phone/Fax

Practice location:
  • Phone: 661-609-2800
  • Fax:
Mailing address:
  • Phone: 661-609-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number63560
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: