Healthcare Provider Details

I. General information

NPI: 1871884122
Provider Name (Legal Business Name): REBECA ALEJANDRA ARIAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 12/01/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 PACIFIC AVE
LONG BEACH CA
90806-3051
US

IV. Provider business mailing address

4198 N SUNSET ST
ORANGE CA
92865-1419
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-1179
  • Fax: 562-804-0865
Mailing address:
  • Phone: 714-331-2345
  • Fax: 714-285-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA123309
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: