Laurence Arellano

Individual provider Active NPI Case Manager/Care Coordinator · Irwindale, CA

NPI 1043740764 · NPPES record last updated Jun 14, 2017

Key facts

NPI
1043740764
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
13001 Ramona Blvd
Irwindale, CA 91706-3752
Phone
(626) 480-8107
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

13001 Ramona Blvd
Irwindale, CA 91706-3752

Mailing address

10512 Loch Avon Dr
Whittier, CA 90606-1309

Other providers in Irwindale, CA

All providers in Irwindale, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.