Provider Demographics
NPI:1023024346
Name:GUERRERO-NIEVA, ARLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:
Last Name:GUERRERO-NIEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARLEEN
Other - Middle Name:
Other - Last Name:GUERRERO-NIEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:330 W WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2802
Mailing Address - Country:US
Mailing Address - Phone:562-595-9835
Mailing Address - Fax:562-424-8715
Practice Address - Street 1:330 W WILLOW ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2802
Practice Address - Country:US
Practice Address - Phone:562-595-9835
Practice Address - Fax:562-424-8715
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA068932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A689320Medicaid
CA00A689320Medicaid
CAH31425Medicare UPIN