Healthcare Provider Details

I. General information

NPI: 1881497865
Provider Name (Legal Business Name): WENDY ARCOS-BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4164 BROCKTON AVE
RIVERSIDE CA
92501-3400
US

IV. Provider business mailing address

4164 BROCKTON AVE
RIVERSIDE CA
92501-3400
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-5193
  • Fax:
Mailing address:
  • Phone: 951-683-5193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: