MEDICARE: ARNESS IKNER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1528639739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNESS IKNER

Provider Business Mailing Address
First Line	:	2235 LAKE AVE STE 212
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-6041
Country	:	US
Telephone Number	:	626-678-0440
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 LAKE AVE STE 212
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-6041
Country	:	US
Telephone Number	:	626-808-6656
Fax Number	:

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

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	07/08/2021

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Directions to “ ARNESS IKNER ” Practice Location

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