Healthcare Provider Details

I. General information

NPI: 1437650660
Provider Name (Legal Business Name): MONIQUE SOLEDAD ARTEAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43909 30TH ST W
LANCASTER CA
93536-5843
US

IV. Provider business mailing address

3518 SOUTHVIEW CT
PALMDALE CA
93550-6606
US

V. Phone/Fax

Practice location:
  • Phone: 818-448-3387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: