Basic Information
Provider Information
NPI: 1326145079
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARANAS
FirstName: MARITESS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8206
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928120206
CountryCode: US
TelephoneNumber: 7147805695
FaxNumber: 7147805694
Practice Location
Address1: 2040 S SANTA CRUZ ST STE 240
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928056805
CountryCode: US
TelephoneNumber: 7142022330
FaxNumber: 7142022333
Other Information
ProviderEnumerationDate: 09/17/2006
LastUpdateDate: 09/11/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X20A8507CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
20A850701CACA MEDICAL LICENSEOTHER


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