Luz Maria Arellano Ponciano, B.A.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pacoima, CA
NPI 1689433971 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1689433971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11187 De Foe Ave
Pacoima, CA 91331-1954 - Phone
- (818) 898-0223
- Fax
- (818) 361-5384
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro de Amistad, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11187 De Foe Ave
Pacoima, CA 91331-1954
Mailing address
14806 Oro Grande St
Sylmar, CA 91342-4641
Phone (818) 602-0372
Other practice location 1
566 S Brand Blvd
San Fernando, CA 91340-4002
Phone (818) 898-0223 ext. 403
Other providers in Pacoima, CA
- Maya Anderson
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- Heather Ann Andrade
- Perla Andrade
- Kristine Arakelian
- Enrique Adolfo Argueta
- Arise Congregate Living, Inc
- Yanir Arman
- Arnulfo Molina Professional Dental Corporation
- Calina Artimescu
All providers in Pacoima, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.