Provider Demographics
NPI:1588284871
Name:ARZATE, STEVE ALEX
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:ALEX
Last Name:ARZATE
Suffix:
Gender:M
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 CALLE AMISTAD UNIT 6202
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6937
Mailing Address - Country:US
Mailing Address - Phone:949-444-6675
Mailing Address - Fax:
Practice Address - Street 1:120 CALLE AMISTAD UNIT 6202
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6937
Practice Address - Country:US
Practice Address - Phone:949-444-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider