Provider Demographics
NPI:1568767986
Name:ARLEEN GUERRERO NIEVA, M.D., INC.
Entity Type:Organization
Organization Name:ARLEEN GUERRERO NIEVA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHALOM
Authorized Official - Middle Name:G
Authorized Official - Last Name:NIEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-595-9835
Mailing Address - Street 1:330 W WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2802
Mailing Address - Country:US
Mailing Address - Phone:562-595-9835
Mailing Address - Fax:562-424-8715
Practice Address - Street 1:330 W WILLOW ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2802
Practice Address - Country:US
Practice Address - Phone:562-595-9835
Practice Address - Fax:562-424-8715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty