Healthcare Provider Details

I. General information

NPI: 1578094785
Provider Name (Legal Business Name): JULIA ARZENO M.D. (06/2017)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 SAMARITAN DR
SAN JOSE CA
95124-3907
US

IV. Provider business mailing address

2420 SAMARITAN DR
SAN JOSE CA
95124-3907
US

V. Phone/Fax

Practice location:
  • Phone: 408-369-5600
  • Fax: 408-369-5625
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberA160666
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA160666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: