Healthcare Provider Details

I. General information

NPI: 1396088316
Provider Name (Legal Business Name): ARROYO HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 N FAIR OAKS AVE STE F
PASADENA CA
91103-3067
US

IV. Provider business mailing address

898 N FAIR OAKS AVE STE F
PASADENA CA
91103-3067
US

V. Phone/Fax

Practice location:
  • Phone: 323-816-3521
  • Fax:
Mailing address:
  • Phone: 323-816-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD J PANCONI
Title or Position: PRESIDENT
Credential:
Phone: 323-816-3521