Provider Demographics
NPI:1790953560
Name:AROUS, LENA R (MD)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:R
Last Name:AROUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:RAMZI
Other - Last Name:ABDUL-AHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9602
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91346-9602
Mailing Address - Country:US
Mailing Address - Phone:818-837-5559
Mailing Address - Fax:818-792-4793
Practice Address - Street 1:26357 MCBEAN PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4488
Practice Address - Country:US
Practice Address - Phone:661-222-2605
Practice Address - Fax:661-951-3192
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000046346207R00000X
CAA124309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN46346OtherMD LICENSE
TN46346OtherMD LICENSE