Provider Demographics
NPI:1104396555
Name:SORIBELLO, ARMAN PILONIA (LVN)
Entity Type:Individual
Prefix:MR
First Name:ARMAN
Middle Name:PILONIA
Last Name:SORIBELLO
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:MR
Other - First Name:ARMAN
Other - Middle Name:PILONIA
Other - Last Name:SORIBELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:7471 UNIVERSITY AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6079
Mailing Address - Country:US
Mailing Address - Phone:909-837-0353
Mailing Address - Fax:
Practice Address - Street 1:5696 LAKE MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1929
Practice Address - Country:US
Practice Address - Phone:619-460-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233338164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse