Provider Demographics
NPI:1770376634
Name:LARA, DAISY ARROYO (PPS)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:ARROYO
Last Name:LARA
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:DAISY
Other - Middle Name:
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:885 VIA FELICIDAD
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-3259
Mailing Address - Country:US
Mailing Address - Phone:760-807-4837
Mailing Address - Fax:
Practice Address - Street 1:2310 ALDERGROVE AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-1935
Practice Address - Country:US
Practice Address - Phone:760-432-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2301898531041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool