Provider Demographics
NPI:1083462055
Name:ARABE, ANDRE P MENDOZA
Entity type:Individual
Prefix:
First Name:ANDRE P
Middle Name:MENDOZA
Last Name:ARABE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDRE PAOLO
Other - Middle Name:MENDOZA
Other - Last Name:ARABE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DRIVE
Mailing Address - Street 2:ACHS-GME OFFICE STE. 201
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39000 BOB HOPE DRIVE
Practice Address - Street 2:ACHS-GME OFFICE STE. 201
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-773-4504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program