Provider Demographics
NPI:1063207132
Name:ARAYA, ISAAC
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:ARAYA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S GRAND AVE APT 75
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1661
Mailing Address - Country:US
Mailing Address - Phone:714-366-9691
Mailing Address - Fax:
Practice Address - Street 1:120 S GRAND AVE APT 75
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1661
Practice Address - Country:US
Practice Address - Phone:714-366-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver