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NPI Code Detail

MEDICARE: PEREGRINA LORENZO ARCIAGA M.D.

MEDICARE:   PEREGRINA LORENZO ARCIAGA  M.D.
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
1208VP0000XPain Medicine PhysicianA72467CA
2208VP0014XInterventional Pain Medicine PhysicianA72467CA
3207L00000XAnesthesiology PhysicianA72467CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A724670OTHERCABLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831120070
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEREGRINA LORENZO ARCIAGA M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 757 WESTWOOD PLZ STE 3325
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-4011
Country : US
Telephone Number : 310-267-3899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 02/29/2024

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Directions to “ PEREGRINA LORENZO ARCIAGA M.D.” Practice Location

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