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NPI Code Detail

MEDICARE: DR. ROSE ARELLANES M.D.

MEDICARE: DR. ROSE ARELLANES 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
1207Q00000XFamily Medicine PhysicianA066839CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902889512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSE ARELLANES M.D.
Provider Business Mailing Address
First Line : 2155 IRON POINT RD
Second Line : ADULT MEDICINE 2
City : FOLSOM
State : CA
Zip : 95630-8707
Country : US
Telephone Number : 916-817-5200
Fax Number :
Provider Business Practice Location Address
First Line : 2155 IRON POINT RD
Second Line : ADULT MEDICINE 2
City : FOLSOM
State : CA
Zip : 95630-8707
Country : US
Telephone Number : 916-817-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 12/20/2021

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