Healthcare Provider Details

I. General information

NPI: 1851456214
Provider Name (Legal Business Name): TERESA ARELLANO RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 E FLORENCE AVE
LOS ANGELES CA
90001-1937
US

IV. Provider business mailing address

3475 CLARINGTON AVE APT 302
LOS ANGELES CA
90034-3821
US

V. Phone/Fax

Practice location:
  • Phone: 323-588-1383
  • Fax: 323-588-2339
Mailing address:
  • Phone: 323-422-1721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN307710
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: