Healthcare Provider Details

I. General information

NPI: 1841176138
Provider Name (Legal Business Name): MIGUEL ANGEL ARIAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 13TH ST
MERCED CA
95341-6211
US

IV. Provider business mailing address

2386 GABRIEL DR
MERCED CA
95340-5467
US

V. Phone/Fax

Practice location:
  • Phone: 650-799-3957
  • Fax:
Mailing address:
  • Phone: 650-799-3957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: