Provider Demographics
NPI:1659067403
Name:LOIACANO, ARPITA MANDAL (LEP)
Entity Type:Individual
Prefix:
First Name:ARPITA
Middle Name:MANDAL
Last Name:LOIACANO
Suffix:
Gender:F
Credentials:LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 SAMOA PL
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2328
Mailing Address - Country:US
Mailing Address - Phone:805-427-0725
Mailing Address - Fax:
Practice Address - Street 1:19712 MACARTHUR BLVD
Practice Address - Street 2:STE 110
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2407
Practice Address - Country:US
Practice Address - Phone:949-257-2849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3802103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool