Provider Demographics
NPI:1245460237
Name:ARENA, ELIZABETH ANNE (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:ARENA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2200 SANTA MONICA BLVD
Mailing Address - Street 2:JOHN WAYNE CANCER INSTITUTE
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2302
Mailing Address - Country:US
Mailing Address - Phone:310-829-8781
Mailing Address - Fax:
Practice Address - Street 1:2200 SANTA MONICA BLVD
Practice Address - Street 2:JOHN WAYNE CANCER INSTITUTE
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2302
Practice Address - Country:US
Practice Address - Phone:310-829-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2012-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1209082086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology