Healthcare Provider Details

I. General information

NPI: 1508168741
Provider Name (Legal Business Name): ARLYN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 W 7TH ST
SAN PEDRO CA
90732-3516
US

IV. Provider business mailing address

1450 W 7TH ST
SAN PEDRO CA
90732-3516
US

V. Phone/Fax

Practice location:
  • Phone: 310-832-3140
  • Fax:
Mailing address:
  • Phone: 310-832-3140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY CAROLYN MILLER
Title or Position: DOCTOR
Credential: PHD
Phone: 310-832-3140