Healthcare Provider Details

I. General information

NPI: 1831486398
Provider Name (Legal Business Name): MISHELL ELIZABETH ARAUJO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 NORTH TUSTIN AVENUE
ORANGE CA
92867
US

IV. Provider business mailing address

514 S BROADWAY
SANTA ANA CA
92701-5640
US

V. Phone/Fax

Practice location:
  • Phone: 714-288-1035
  • Fax:
Mailing address:
  • Phone: 714-586-0276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: