Provider Demographics
NPI:1063588267
Name:ARELLANO, VERONICA P (MA)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:P
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1915 OAK KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1754
Mailing Address - Country:US
Mailing Address - Phone:650-888-9348
Mailing Address - Fax:
Practice Address - Street 1:251 LLEWELLYN AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1940
Practice Address - Country:US
Practice Address - Phone:408-335-1808
Practice Address - Fax:408-335-1990
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4740OtherCOUNTY ID