Provider Demographics
NPI:1417233578
Name:ARZAGA, CHERISE
Entity Type:Individual
Prefix:
First Name:CHERISE
Middle Name:
Last Name:ARZAGA
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 1:8000 MARIN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRISBANE
Mailing Address - State:CA
Mailing Address - Zip Code:94005
Mailing Address - Country:US
Mailing Address - Phone:415-502-2581
Mailing Address - Fax:415-502-2581
Practice Address - Street 1:1975 LONG BEACH BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-8100
Practice Address - Country:US
Practice Address - Phone:562-218-4035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW74795104100000X
CA336611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical