Healthcare Provider Details
I. General information
NPI: 1134932353
Provider Name (Legal Business Name): MEENU ARORA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/30/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3223 BAGLEY AVE APT 204
LOS ANGELES CA
90034-2972
US
IV. Provider business mailing address
3223 BAGLEY AVE APT 204
LOS ANGELES CA
90034-2972
US
V. Phone/Fax
- Phone: 310-890-2056
- Fax:
- Phone: 310-890-2056
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 95041678 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 95189335 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: