Provider Demographics
NPI:1124224241
Name:ARTECHE, JANENE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JANENE
Middle Name:
Last Name:ARTECHE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 PROSPECT AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3824
Mailing Address - Country:US
Mailing Address - Phone:909-732-2475
Mailing Address - Fax:951-278-8552
Practice Address - Street 1:1820 FULLERTON AVE STE 140
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3100
Practice Address - Country:US
Practice Address - Phone:951-549-0900
Practice Address - Fax:951-278-8552
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA1197018363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant