Healthcare Provider Details

I. General information

NPI: 1396198404
Provider Name (Legal Business Name): ARACELI OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/21/2022
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14535 SHERMAN CIR BLDG 3
VAN NUYS CA
91405-3087
US

IV. Provider business mailing address

14535 SHERMAN CIR BLDG 3
VAN NUYS CA
91405-3087
US

V. Phone/Fax

Practice location:
  • Phone: 818-901-1493
  • Fax:
Mailing address:
  • Phone: 818-901-4930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW77216
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW101296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: