Provider Demographics
NPI:1528674892
Name:MASCARINAS, ARIELA
Entity type:Individual
Prefix:
First Name:ARIELA
Middle Name:
Last Name:MASCARINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIELA
Other - Middle Name:
Other - Last Name:REYNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5131 ANDREA BLVD APT 27
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-2512
Mailing Address - Country:US
Mailing Address - Phone:408-505-4374
Mailing Address - Fax:
Practice Address - Street 1:5131 ANDREA BLVD APT 27
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-2512
Practice Address - Country:US
Practice Address - Phone:408-505-4374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program