Provider Demographics
NPI:1306208442
Name:MALDONADO, ARNALDO
Entity Type:Individual
Prefix:
First Name:ARNALDO
Middle Name:
Last Name:MALDONADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 WEST GOLDLEAF CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-5501
Mailing Address - Country:US
Mailing Address - Phone:213-760-6782
Mailing Address - Fax:
Practice Address - Street 1:5001 WEST GOLDLEAF CIRCLE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90056
Practice Address - Country:US
Practice Address - Phone:213-760-6782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker