Healthcare Provider Details

I. General information

NPI: 1760302996
Provider Name (Legal Business Name): ARENA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 KETTNER BLVD STE 100
SAN DIEGO CA
92101-5373
US

IV. Provider business mailing address

1420 KETTNER BLVD STE 100
SAN DIEGO CA
92101-5373
US

V. Phone/Fax

Practice location:
  • Phone: 858-399-0333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID ALCARAZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 858-399-0333