MEDICARE: EDWIN TOBBEE ARCEO APRN

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	363LF0000X	Family Nurse Practitioner	95024134	CA
2	163WA2000X	Administrator Registered Nurse	781877	CA
3	363LP2300X	Primary Care Nurse Practitioner	95024134	CA
4	163W00000X	Registered Nurse	781877	CA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95024134	CA
6	163WC1600X	Continuing Education/Staff Development Registered Nurse	781877	CA

General Provider Information

NPI Number	:	1952013500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN TOBBEE ARCEO APRN

Provider Business Mailing Address
First Line	:	2677 W SERENO PL
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-2018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2677 W SERENO PL
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-2018
Country	:	US
Telephone Number	:	951-816-7267
Fax Number	:

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

Provider Enumeration Date	:	12/14/2022
Last Update Date	:	05/28/2026

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