1265670533 NPI number — GERRI LYNN ARIAS L.C.S.W

Table of content: GERRI LYNN ARIAS L.C.S.W (NPI 1265670533)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265670533 NPI number — GERRI LYNN ARIAS L.C.S.W

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARIAS
Provider First Name:
GERRI
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265670533
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24800 CHRISANTA DR
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
MISSION VIEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92691-4833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-264-5999
Provider Business Mailing Address Fax Number:
949-707-5314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24800 CHRISANTA DR
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
MISSION VIEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92691-4833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-264-5999
Provider Business Practice Location Address Fax Number:
949-707-5314
Provider Enumeration Date:
01/25/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCS 24814 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)