MEDICARE: KAREN ARAKAWA

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	225X00000X	Occupational Therapist	14658	CA

General Provider Information

NPI Number	:	1528841178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ARAKAWA

Provider Business Mailing Address
First Line	:	689 LAS VILLAS ST
Second Line	:
City	:	IMPERIAL
State	:	CA
Zip	:	92251-8015
Country	:	US
Telephone Number	:	610-513-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 N IMPERIAL AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1319
Country	:	US
Telephone Number	:	760-299-7741
Fax Number	:

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

Provider Enumeration Date	:	08/17/2023
Last Update Date	:	08/17/2023

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