Healthcare Provider Details

I. General information

NPI: 1245460237
Provider Name (Legal Business Name): ELIZABETH ANNE ARENA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8635 W 3RD ST STE 880W
LOS ANGELES CA
90048-6155
US

IV. Provider business mailing address

2200 SANTA MONICA BLVD JOHN WAYNE CANCER INSTITUTE
SANTA MONICA CA
90404-2302
US

V. Phone/Fax

Practice location:
  • Phone: 213-947-4938
  • Fax:
Mailing address:
  • Phone: 310-829-8781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA120908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: