Provider Demographics
NPI:1275896375
Name:ARIZA, MANUELA INEZ
Entity Type:Individual
Prefix:MS
First Name:MANUELA
Middle Name:INEZ
Last Name:ARIZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 OWENSMOUTH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-4245
Mailing Address - Country:US
Mailing Address - Phone:818-347-8565
Mailing Address - Fax:818-347-0506
Practice Address - Street 1:6800 OWENSMOUTH AVE STE 310
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4245
Practice Address - Country:US
Practice Address - Phone:818-347-8565
Practice Address - Fax:818-347-0506
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator