Provider Demographics
NPI:1255445037
Name:PINZON-ARELLANO, SONIA ELVIRA (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ELVIRA
Last Name:PINZON-ARELLANO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 RAMONA DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2438 N PONDEROSA DR STE C209
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2374
Practice Address - Country:US
Practice Address - Phone:805-482-0721
Practice Address - Fax:805-389-0725
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA632492080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A632490Medicaid
617098Medicare UPIN
CA00A632490Medicaid