Basic Information
| Provider Information | |||||||||
| NPI: | 1700318763 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARELLANO | ||||||||
| FirstName: | JANETTA | ||||||||
| MiddleName: | LORENZA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 505 S MAIN ST STE 350 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145097982 | ||||||||
| FaxNumber: | 8552462329 | ||||||||
| Practice Location | |||||||||
| Address1: | 505 S MAIN ST STE 350 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145097982 | ||||||||
| FaxNumber: | 8552462329 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2017 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084N0402X | A159278 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology |
No ID Information.