MEDICARE: MAGDALENA C ARENAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	A66947	CA

General Provider Information

NPI Number	:	1093761249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA C ARENAS MD

Provider Business Mailing Address
First Line	:	800 FAIRMOUNT AVE
Second Line	:	STE 205
City	:	PASADENA
State	:	CA
Zip	:	91105-3150
Country	:	US
Telephone Number	:	626-449-1199
Fax Number	:	626-449-1166

Provider Business Practice Location Address
First Line	:	800 FAIRMOUNT AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3152
Country	:	US
Telephone Number	:	626-449-1199
Fax Number	:	626-449-1166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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