Provider Demographics
NPI:1609171909
Name:AROONLAP, USA (MD)
Entity Type:Individual
Prefix:
First Name:USA
Middle Name:
Last Name:AROONLAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23228 MADERO
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-2706
Mailing Address - Country:US
Mailing Address - Phone:949-454-3940
Mailing Address - Fax:949-770-1953
Practice Address - Street 1:23228 MADERO
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2706
Practice Address - Country:US
Practice Address - Phone:949-454-3940
Practice Address - Fax:949-770-1953
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1099872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHF740WMedicare PIN
CAHF740ZMedicare PIN
CAHF740VMedicare PIN
CAHF740XMedicare PIN