Rene Arquisola
Individual provider Active NPI Driver · Cerritos, CA
NPI 1891428652 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1891428652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- V8087984 (CA)
- Practice address
- 11538 Bos St
Cerritos, CA 90703-6743 - Phone
- (562) 335-8193
- NPI assigned
- Jul 7, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8087984 | CA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | V8087984 | CA | Yes |
Addresses
Primary practice location
11538 Bos St
Cerritos, CA 90703-6743
Mailing address
11538 Bos St
Cerritos, CA 90703-6743
Phone (562) 335-8193
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. 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.