MEDICARE: MS. TERESA ARELLANO RNP

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	363LW0102X	Women's Health Nurse Practitioner	RN307710	CA

General Provider Information

NPI Number	:	1851456214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERESA ARELLANO RNP

Provider Business Mailing Address
First Line	:	3475 CLARINGTON AVE
Second Line	:	APT 302
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3821
Country	:	US
Telephone Number	:	323-422-1721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 E FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-1937
Country	:	US
Telephone Number	:	323-588-1383
Fax Number	:	323-588-2339

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	08/27/2014

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