Miguel Angel Arevalo I
Community Health Worker in Van Nuys, CA. Individual provider (NPI-1).
NPI number1033547104
StatusActive
Last updated in NPPESOct 28, 2013
Details
- NPI
- 1033547104
- Entity type
- Individual (NPI-1)
- Name
- Mr. Miguel Angel Arevalo I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2013
- Last updated
- Oct 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
8134 Van Nuys BlvdVan Nuys, CA 91402-4801
Phone 818-908-3820
Mailing address
7964 Chastain AveReseda, CA 91335-2103
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