MEDICARE: ARIANA JONES

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	225100000X	Physical Therapist	PT297032	CA

General Provider Information

NPI Number	:	1750937967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA JONES

Provider Business Mailing Address
First Line	:	5312 LAKE LINDERO DR
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1952
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22151 VENTURA BLVD STE 101
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1666
Country	:	US
Telephone Number	:	877-415-1330
Fax Number	:

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

Provider Enumeration Date	:	08/13/2019
Last Update Date	:	12/04/2024

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