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NPI Code Detail

MEDICARE: NOEMI JOHANNA ARRIETA DO

MEDICARE:   NOEMI JOHANNA ARRIETA  DO
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 Physician20A11153CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120A11153OTHERCALIC

General Provider Information

NPI Number : 1912223496
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEMI JOHANNA ARRIETA DO
Provider Business Mailing Address
First Line : 1601 PRECISION PARK LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92173-1345
Country : US
Telephone Number : 619-693-3823
Fax Number : 619-906-4564
Provider Business Practice Location Address
First Line : 4004 BEYER BLVD
Second Line :
City : SAN YSIDRO
State : CA
Zip : 92173-2099
Country : US
Telephone Number : 619-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2010
Last Update Date : 07/22/2025

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Directions to “ NOEMI JOHANNA ARRIETA DO” Practice Location

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