Provider Demographics
NPI:1093156184
Name:ARCALA, IRIS JOAN RAYNGAY (MPH, BSN, RN, CHES)
Entity Type:Individual
Prefix:
First Name:IRIS JOAN
Middle Name:RAYNGAY
Last Name:ARCALA
Suffix:
Gender:F
Credentials:MPH, BSN, RN, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 SOUZA DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-7559
Mailing Address - Country:US
Mailing Address - Phone:408-489-8517
Mailing Address - Fax:
Practice Address - Street 1:1210 SOUZA DR
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-7559
Practice Address - Country:US
Practice Address - Phone:408-489-8517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA830163163W00000X
NY650976163W00000X
CA15155174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No174H00000XOther Service ProvidersHealth Educator