Healthcare Provider Details

I. General information

NPI: 1497346282
Provider Name (Legal Business Name): ARACELI BARAJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 WESTWOOD PLZ
LOS ANGELES CA
90095-1759
US

IV. Provider business mailing address

740 WESTWOOD PLZ # 1-WEST
LOS ANGELES CA
90095-1759
US

V. Phone/Fax

Practice location:
  • Phone: 310-794-2463
  • Fax: 310-794-4996
Mailing address:
  • Phone: 310-794-2463
  • Fax: 310-794-4996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: