Provider Demographics
NPI:1487861217
Name:ARADA, JANIELLE MAY (RDH)
Entity Type:Individual
Prefix:
First Name:JANIELLE
Middle Name:MAY
Last Name:ARADA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 S BERKELEY AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4070
Mailing Address - Country:US
Mailing Address - Phone:626-795-2797
Mailing Address - Fax:626-795-2797
Practice Address - Street 1:130 S ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2238
Practice Address - Country:US
Practice Address - Phone:213-484-9660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22732124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist