Healthcare Provider Details

I. General information

NPI: 1225221229
Provider Name (Legal Business Name): ARLENE PATRICIA CHODKOWSKI RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST BOX 3
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

1000 W. CARSON ST. BOX 3
TORRANCE CA
90509-2910
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-3595
  • Fax:
Mailing address:
  • Phone: 310-222-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4615
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: