Healthcare Provider Details

I. General information

NPI: 1134047459
Provider Name (Legal Business Name): ARIZO SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30903 LAELIA CIR
MURRIETA CA
92563-0512
US

IV. Provider business mailing address

30903 LAELIA CIR
MURRIETA CA
92563-0512
US

V. Phone/Fax

Practice location:
  • Phone: 951-599-4790
  • Fax:
Mailing address:
  • Phone: 951-599-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: IVAN ARIZOBAL
Title or Position: ADMINISTRATOR
Credential: LVN
Phone: 760-412-0321