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General NPI Number Information
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NPI Number | 1760685515
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Entity Type | Organization
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Legal Business Name | HORACIO F ARIZA MD
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9808 VENICE BLVD 710
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone | 323-526-9770
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Fax | 661-702-9712
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | MONTEREY PARK
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State | CA
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Zip | 91754-0176
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Country | US
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Telephone | 323-600-4901
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Fax | 661-702-9712
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Authorized Official
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Title or Position | MD OWNER
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Name | DR. HORACIO F ARIZA
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Credential | MD
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Telephone | 323-562-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A20388
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License Number State | CA
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