Healthcare Provider Details

I. General information

NPI: 1679485858
Provider Name (Legal Business Name): ARLON CHAU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 W 15TH ST
UPLAND CA
91786-2282
US

IV. Provider business mailing address

465 W 15TH ST
UPLAND CA
91786-2282
US

V. Phone/Fax

Practice location:
  • Phone: 909-949-7750
  • Fax:
Mailing address:
  • Phone: 909-949-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number20035
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: