Provider Demographics
NPI:1790340909
Name:ARCA, FAITH
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:
Last Name:ARCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 CASSIA ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2011
Mailing Address - Country:US
Mailing Address - Phone:650-363-8125
Mailing Address - Fax:
Practice Address - Street 1:420 CASSIA ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2011
Practice Address - Country:US
Practice Address - Phone:650-363-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker