MEDICARE: MRS. MARY KIMBERLY GONZALEZ AREBALO RDH, HAP

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	124Q00000X	Dental Hygienist	RDH29595	CA
2	124Q00000X	Dental Hygienist	HAP1088	CA

General Provider Information

NPI Number	:	1245062751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY KIMBERLY GONZALEZ AREBALO RDH, HAP

Provider Business Mailing Address
First Line	:	7510 ZEMCO DR
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-4061
Country	:	US
Telephone Number	:	619-708-4278
Fax Number	:

Provider Business Practice Location Address
First Line	:	7510 ZEMCO DR
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-4061
Country	:	US
Telephone Number	:	619-708-4278
Fax Number	:

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

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

Similar Medicare Providers

1801001235 — KWONG AH CHEN LAC
Practice Location Address:

4405 SILVIES WAY
ELK GROVE, CA
95758-4061

Practice Phone: 530-621-2120
Practice Fax:

1356515357 — MELISSA K BERRY M.A. CCC-SLP
Practice Location Address:

4061 EL PRADO BLVD
COCONUT GROVE, FL
33133-6309

Practice Phone: 917-592-3322
Practice Fax:

1871078675 — PROGRESSIVE PHYSICAL THERAPY, LLC
Practice Location Address:

15825 SHADY GROVE RD STE 50
ROCKVILLE, MD
20850-4061

Practice Phone: 301-987-0999
Practice Fax: 301-987-7123

1487900429 — WALGREEN CO
Practice Location Address:

7195 BROADWAY
LEMON GROVE, CA
91945-1408

Practice Phone: 619-433-0172
Practice Fax: 619-433-0178

1548945652 — BERREVONNE DAOODI ACSW
Practice Location Address:

7227 BROADWAY STE 403
LEMON GROVE, CA
91945-1505

Practice Phone: 619-771-2181
Practice Fax:

1336134204 — LEMON GROVE HEALTH ASSOCIATES LLC
Practice Location Address:

8351 BROADWAY
LEMON GROVE, CA
91945-2009

Practice Phone: 619-463-0294
Practice Fax: 619-461-1064

Directions to “ MRS. MARY KIMBERLY GONZALEZ AREBALO RDH, HAP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.