Provider Demographics
NPI:1861931289
Name:ARCAYA, MALOISE GARROTE (NP-C, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:MALOISE
Middle Name:GARROTE
Last Name:ARCAYA
Suffix:
Gender:F
Credentials:NP-C, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 SOUTH GRAND AVENUE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90071-2617
Mailing Address - Country:US
Mailing Address - Phone:213-891-7878
Mailing Address - Fax:
Practice Address - Street 1:355 SOUTH GRAND AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-9007
Practice Address - Country:US
Practice Address - Phone:213-891-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014691363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology