MEDICARE: AROPAGA INCORPORATED

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1255090551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AROPAGA INCORPORATED

Provider Business Mailing Address
First Line	:	5809 E MARITA ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-3248
Country	:	US
Telephone Number	:	323-441-3691
Fax Number	:

Provider Business Practice Location Address
First Line	:	5809 E MARITA ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-3248
Country	:	US
Telephone Number	:	323-441-3691
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MART HYSAM PAMINTUAN
Credential	:
Telephone Number	:	323-441-3691

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	12/16/2021

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