Provider Demographics
NPI:1356453575
Name:ARZAGA, TERESITA L
Entity Type:Individual
Prefix:MS
First Name:TERESITA
Middle Name:L
Last Name:ARZAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TERESITA
Other - Middle Name:L
Other - Last Name:ARZAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:941 W CARSON ST APT 218
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2040
Mailing Address - Country:US
Mailing Address - Phone:310-850-3427
Mailing Address - Fax:
Practice Address - Street 1:941 W CARSON ST APT 218
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2040
Practice Address - Country:US
Practice Address - Phone:310-850-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology