Healthcare Provider Details

I. General information

NPI: 1710775648
Provider Name (Legal Business Name): ARIANA NEVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W SANTA ANA BLVD STE 600
SANTA ANA CA
92701-4552
US

IV. Provider business mailing address

600 W SANTA ANA BLVD STE 202
SANTA ANA CA
92701-4542
US

V. Phone/Fax

Practice location:
  • Phone: 714-953-4455
  • Fax: 714-547-8855
Mailing address:
  • Phone: 714-953-4455
  • Fax: 714-547-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: