Healthcare Provider Details

I. General information

NPI: 1407802135
Provider Name (Legal Business Name): ARLO ZOOS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 WILSHIRE BLVD BLDG 206
LOS ANGELES CA
90073-1003
US

IV. Provider business mailing address

PO BOX 3226
SANTA MONICA CA
90408-3226
US

V. Phone/Fax

Practice location:
  • Phone: 310-478-3711
  • Fax:
Mailing address:
  • Phone: 310-478-3711
  • Fax: 310-268-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW18662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: