Provider Demographics
NPI:1902516651
Name:ARELLANO, ARTURO VALDES (CARE PROVIDER)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:VALDES
Last Name:ARELLANO
Suffix:
Gender:M
Credentials:CARE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5162 COTTAGE GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-7219
Mailing Address - Country:US
Mailing Address - Phone:909-576-3233
Mailing Address - Fax:
Practice Address - Street 1:5162 COTTAGE GARDEN WAY
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-7219
Practice Address - Country:US
Practice Address - Phone:190-957-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider