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NPI Code Detail

MEDICARE: MARIA AREVALO

MEDICARE: MARIA AREVALO
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
1101YA0400XAddiction (Substance Use Disorder) CounselorR1516060723CA

General Provider Information

NPI Number : 1699551036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA AREVALO
Provider Business Mailing Address
First Line : 14530 SYLVAN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-582-8832
Fax Number :
Provider Business Practice Location Address
First Line : 14530 SYLVAN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-582-8832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 04/03/2026

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Directions to “ MARIA AREVALO ” Practice Location

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