Healthcare Provider Details

I. General information

NPI: 1053228924
Provider Name (Legal Business Name): ARBELOS1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 W BEVERLY BLVD STE 203
MONTEBELLO CA
90640-3951
US

IV. Provider business mailing address

2101 W BEVERLY BLVD STE 203
MONTEBELLO CA
90640-3951
US

V. Phone/Fax

Practice location:
  • Phone: 909-688-8821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL C CHEN
Title or Position: MEDICAL DIRECTOR
Credential: MD, PHD
Phone: 909-688-8821