Healthcare Provider Details

I. General information

NPI: 1821443870
Provider Name (Legal Business Name): ARLENE JANE SAHARA CAMPO LOSLOSO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27100 CHARDON RD
RICHMOND HEIGHTS OH
44143-1116
US

IV. Provider business mailing address

27100 CHARDON RD
RICHMOND HEIGHTS OH
44143-1116
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-7125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO2998
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.013731
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: