Healthcare Provider Details

I. General information

NPI: 1497292411
Provider Name (Legal Business Name): ERIKA ARIAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2017
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 SAN VICENTE BLVD STE 360
LOS ANGELES CA
90048-5448
US

IV. Provider business mailing address

6310 SAN VICENTE BLVD STE 360
LOS ANGELES CA
90048-5448
US

V. Phone/Fax

Practice location:
  • Phone: 619-304-6554
  • Fax:
Mailing address:
  • Phone: 619-304-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95006111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95006111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: