Provider Demographics
NPI:1861464000
Name:DOLORICO, ARLENE M (MD)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:M
Last Name:DOLORICO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-0250
Mailing Address - Country:US
Mailing Address - Phone:562-598-3160
Mailing Address - Fax:562-598-7383
Practice Address - Street 1:10861 CHERRY ST
Practice Address - Street 2:STE 204
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-5402
Practice Address - Country:US
Practice Address - Phone:562-598-3160
Practice Address - Fax:562-598-7383
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA65842207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G86982Medicare UPIN