Healthcare Provider Details

I. General information

NPI: 1376474460
Provider Name (Legal Business Name): VICTOR PATRICIO ARANEDA AQUEVEQUE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 W CHRISTOFFERSEN PKWY APT E206
TURLOCK CA
95382-8060
US

IV. Provider business mailing address

3025 W CHRISTOFFERSEN PKWY APT E206
TURLOCK CA
95382-8060
US

V. Phone/Fax

Practice location:
  • Phone: 510-459-0334
  • Fax:
Mailing address:
  • Phone: 510-459-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40828
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: