Healthcare Provider Details
I. General information
NPI: 1134945470
Provider Name (Legal Business Name): CHRIS DELOS REYES ARCA MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2024
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4149 CHESTNUT ST
RIVERSIDE CA
92501-3538
US
IV. Provider business mailing address
700 E REDLANDS BLVD # 741
REDLANDS CA
92373-6109
US
V. Phone/Fax
- Phone: 951-498-3661
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0402X |
| Taxonomy | Neurology with Special Qualifications in Child Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRIS
ARCA
Title or Position: CEO
Credential:
Phone: 951-498-3661