Provider Demographics
NPI:1639497944
Name:ARECHIGA, ADAM LAPREE (PSYD, DRPH)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LAPREE
Last Name:ARECHIGA
Suffix:
Gender:M
Credentials:PSYD, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11130 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2802
Mailing Address - Country:US
Mailing Address - Phone:909-558-8717
Mailing Address - Fax:909-558-0171
Practice Address - Street 1:11130 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2802
Practice Address - Country:US
Practice Address - Phone:909-558-8717
Practice Address - Fax:909-558-0171
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21819103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical