Healthcare Provider Details

I. General information

NPI: 1710509625
Provider Name (Legal Business Name): ARACELI L PIMENTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25025 RIVER WALK LN
STEVENSON RANCH CA
91381-1803
US

IV. Provider business mailing address

25025 RIVER WALK LN
STEVENSON RANCH CA
91381-1803
US

V. Phone/Fax

Practice location:
  • Phone: 323-834-9088
  • Fax:
Mailing address:
  • Phone: 323-834-9088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140911
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: