Healthcare Provider Details

I. General information

NPI: 1144908658
Provider Name (Legal Business Name): VERONICA ANGELINA ARRAZATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 CALIFORNIA ST
SAN FRANCISCO CA
94104-1000
US

IV. Provider business mailing address

1772 GRIFFITH PARK BLVD
LOS ANGELES CA
90026-1054
US

V. Phone/Fax

Practice location:
  • Phone: 415-992-6155
  • Fax:
Mailing address:
  • Phone: 323-350-4635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17510
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: