Healthcare Provider Details

I. General information

NPI: 1003548587
Provider Name (Legal Business Name): ARISA MEDICAL WEST, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10225 AUSTIN DR STE 104
SPRING VALLEY CA
91978-1521
US

IV. Provider business mailing address

6809 LAVEROCK CT
BETHESDA MD
20817-4912
US

V. Phone/Fax

Practice location:
  • Phone: 213-213-5540
  • Fax:
Mailing address:
  • Phone: 301-320-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MANISH ARORA
Title or Position: PRESIDENT
Credential: MD
Phone: 213-213-5580