Healthcare Provider Details

I. General information

NPI: 1720642382
Provider Name (Legal Business Name): ARLEEN AZIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARLEEN GREWAL MD

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 SCRIPPS DR STE 100
SACRAMENTO CA
95825-6208
US

IV. Provider business mailing address

79 SCRIPPS DR STE 100
SACRAMENTO CA
95825-6208
US

V. Phone/Fax

Practice location:
  • Phone: 916-921-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA199808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: