Healthcare Provider Details

I. General information

NPI: 1972434603
Provider Name (Legal Business Name): FLEUR DE LIS URCIA ARCETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 E SPRUCE ST UNIT D
PLACENTIA CA
92870-8438
US

IV. Provider business mailing address

1518 E SPRUCE ST UNIT D
PLACENTIA CA
92870-8438
US

V. Phone/Fax

Practice location:
  • Phone: 657-226-7894
  • Fax:
Mailing address:
  • Phone: 657-226-7894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: