Healthcare Provider Details

I. General information

NPI: 1619848652
Provider Name (Legal Business Name): JONATHAN ANTHONY ARROYAVE BS, PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 E CHAPMAN AVE STE C
ORANGE CA
92866-2152
US

IV. Provider business mailing address

310 S JEFFERSON ST APT 23F
PLACENTIA CA
92870-8483
US

V. Phone/Fax

Practice location:
  • Phone: 714-538-1952
  • Fax: 714-538-1490
Mailing address:
  • Phone: 714-319-7239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number53772
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: